42D0250749 CLIA NUMBER - NOVANT HEALTH URGENT CARE WEST ASHLEY

Laboratory Demographics

  • CLIA Code: 42D0250749
  • Facility Name: NOVANT HEALTH URGENT CARE WEST ASHLEY
  • Facility Address: 1014 ST ANDREWS BLVD
    CHARLESTON, SC
    ZIP 29407
  • Facility Phone: 843 556-5585
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHELLEY L. JANSSEN
  • NPI Number: 1013256023
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0250749
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE WEST ASHLEY
Street 1014 ST ANDREWS BLVD
City CHARLESTON
State SC
ZIP 29407
Phone 843 556-5585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Other - URGENT CARE
Lab Director SHELLEY L. JANSSEN

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