42D0984923 CLIA NUMBER - NOVANT HEALTH URGENT CARE CHARLESTON WEST

Laboratory Demographics

  • CLIA Code: 42D0984923
  • Facility Name: NOVANT HEALTH URGENT CARE CHARLESTON WEST
  • Facility Address: 3424 SHELBY RAY COURT
    CHARLESTON, SC
    ZIP 29414
  • Facility Phone: 843 402-6834
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELLEY L. JANSSEN
  • NPI Number: 1194064196
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0984923
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE CHARLESTON WEST
Street 3424 SHELBY RAY COURT
City CHARLESTON
State SC
ZIP 29414
Phone 843 402-6834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director SHELLEY L. JANSSEN

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