42D1064288 CLIA NUMBER - NOVANT HEALTH URGENT CARE SUMMERVILLE

Laboratory Demographics

  • CLIA Code: 42D1064288
  • Facility Name: NOVANT HEALTH URGENT CARE SUMMERVILLE
  • Facility Address: 410 NORTH MAIN STREET
    SUMMERVILLE, SC
    ZIP 29483
  • Facility Phone: 843 871-3277
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1437498268
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1064288
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE SUMMERVILLE
Street 410 NORTH MAIN STREET
City SUMMERVILLE
State SC
ZIP 29483
Phone 843 871-3277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Other - URGENT CARE
Lab Director DR. SHELLEY L. JANSSEN

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