42D0253229 CLIA NUMBER - NOVANT HEALTH URGENT CARE SIMPSONVILLE

Laboratory Demographics

  • CLIA Code: 42D0253229
  • Facility Name: NOVANT HEALTH URGENT CARE SIMPSONVILLE
  • Facility Address: 35 RAY E TALLY COURT
    SIMPSONVILLE, SC
    ZIP 29680
  • Facility Phone: 864 967-7028
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1326387218
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0253229
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE SIMPSONVILLE
Street 35 RAY E TALLY COURT
City SIMPSONVILLE
State SC
ZIP 29680
Phone 864 967-7028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director DR. SHELLEY L. JANSSEN

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