42D0694391 CLIA NUMBER - NOVANT HEALTH URGENT CARE EAST BLACKSTOCK

Laboratory Demographics

  • CLIA Code: 42D0694391
  • Facility Name: NOVANT HEALTH URGENT CARE EAST BLACKSTOCK
  • Facility Address: 218 EAST BLACKSTOCK ROAD
    SPARTANBURG, SC
    ZIP 29301
  • Facility Phone: 864 576-8646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1801135785
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0694391
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE EAST BLACKSTOCK
Street 218 EAST BLACKSTOCK ROAD
City SPARTANBURG
State SC
ZIP 29301
Phone 864 576-8646
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 Physician Office
Lab Director DR. SHELLEY L. JANSSEN

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