42D0249804 CLIA NUMBER - NOVANT HEALTH URGENT CARE NORTHEAST

Laboratory Demographics

  • CLIA Code: 42D0249804
  • Facility Name: NOVANT HEALTH URGENT CARE NORTHEAST
  • Facility Address: 10040 TWO NOTCH RD
    COLUMBIA, SC
    ZIP 29223
  • Facility Phone: 803 788-1153
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHELLEY L. JANSSEN
  • NPI Number: 1154660009
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0249804
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE NORTHEAST
Street 10040 TWO NOTCH RD
City COLUMBIA
State SC
ZIP 29223
Phone 803 788-1153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other - URGENT CARE
Lab Director SHELLEY L. JANSSEN

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This page was last updated on: 9/29/2025