42D0890932 CLIA NUMBER - NOVANT HEALTH URGENT CARE MOUNT PLEASANT

Laboratory Demographics

  • CLIA Code: 42D0890932
  • Facility Name: NOVANT HEALTH URGENT CARE MOUNT PLEASANT
  • Facility Address: 631 JOHNNIE DODDS BOULEVARD
    MT PLEASANT, SC
    ZIP 29464
  • Facility Phone: 843 881-0815
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHELLEY L. JANSSEN
  • NPI Number: 1588903595
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0890932
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE MOUNT PLEASANT
Street 631 JOHNNIE DODDS BOULEVARD
City MT PLEASANT
State SC
ZIP 29464
Phone 843 881-0815
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