42D1032364 CLIA NUMBER - NOVANT HEALTH URGENT CARE GEORGETOWN

Laboratory Demographics

  • CLIA Code: 42D1032364
  • Facility Name: NOVANT HEALTH URGENT CARE GEORGETOWN
  • Facility Address: 1068 N FRASER ST
    GEORGETOWN, SC
    ZIP 29440
  • Facility Phone: 803 782-4278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1356680334
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1032364
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE GEORGETOWN
Street 1068 N FRASER ST
City GEORGETOWN
State SC
ZIP 29440
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 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director DR. SHELLEY L. JANSSEN

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