42D0935348 CLIA NUMBER - NOVANT HEALTH URGENT CARE CONWAY 501

Laboratory Demographics

  • CLIA Code: 42D0935348
  • Facility Name: NOVANT HEALTH URGENT CARE CONWAY 501
  • Facility Address: 1113 CHURCH STREET
    CONWAY, SC
    ZIP 29526
  • Facility Phone: 843 248-6269
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1811236896
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0935348
LAB Type Other
Facility Name NOVANT HEALTH URGENT CARE CONWAY 501
Street 1113 CHURCH STREET
City CONWAY
State SC
ZIP 29526
Phone 843 248-6269
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
Lab Director DR. SHELLEY L. JANSSEN

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