42D0694392 CLIA NUMBER - NOVANT HEALTH URGENT CARE FOREST ACRES

Laboratory Demographics

  • CLIA Code: 42D0694392
  • Facility Name: NOVANT HEALTH URGENT CARE FOREST ACRES
  • Facility Address: 4500 FOREST DRIVE
    COLUMBIA, SC
    ZIP 29206
  • Facility Phone: 803 738-9522
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHELLEY L. JANSSEN
  • NPI Number: 1770822751
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0694392
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE FOREST ACRES
Street 4500 FOREST DRIVE
City COLUMBIA
State SC
ZIP 29206
Phone 803 738-9522
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 Other - URGENT CARE
Lab Director SHELLEY L. JANSSEN

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