42D0694889 CLIA NUMBER - NOVANT HEALTH URGENT CARE AIKEN MALL

Laboratory Demographics

  • CLIA Code: 42D0694889
  • Facility Name: NOVANT HEALTH URGENT CARE AIKEN MALL
  • Facility Address: 6167 BRAIDED MANE PASS SW
    AIKEN, SC
    ZIP 29803
  • Facility Phone: 803 782-4278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1184963118
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0694889
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE AIKEN MALL
Street 6167 BRAIDED MANE PASS SW
City AIKEN
State SC
ZIP 29803
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 5/31/2024
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