42D0902267 CLIA NUMBER - NOVANT HEALTH URGENT CARE NORTH MYRTLE BEACH

Laboratory Demographics

  • CLIA Code: 42D0902267
  • Facility Name: NOVANT HEALTH URGENT CARE NORTH MYRTLE BEACH
  • Facility Address: 1714 HWY 17 SOUTH
    NORTH MYRTLE BEACH, SC
    ZIP 29582
  • Facility Phone: 803 782-4278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1083953079
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0902267
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE NORTH MYRTLE BEACH
Street 1714 HWY 17 SOUTH
City NORTH MYRTLE BEACH
State SC
ZIP 29582
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 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DR. SHELLEY L. JANSSEN

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