42D0252513 CLIA NUMBER - NOVANT HEALTH URGENT CARE BEREA

Laboratory Demographics

  • CLIA Code: 42D0252513
  • Facility Name: NOVANT HEALTH URGENT CARE BEREA
  • Facility Address: 6704 WHITE HORSE ROAD
    GREENVILLE, SC
    ZIP 29611
  • Facility Phone: 803 782-4278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1922347897
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0252513
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE BEREA
Street 6704 WHITE HORSE ROAD
City GREENVILLE
State SC
ZIP 29611
Phone 803 782-4278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director DR. SHELLEY L. JANSSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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