42D1100765 CLIA NUMBER - NOVANT HEALTH URGENT CARE MONCKS CORNER

Laboratory Demographics

  • CLIA Code: 42D1100765
  • Facility Name: NOVANT HEALTH URGENT CARE MONCKS CORNER
  • Facility Address: 459 HIGHWAY 52 NORTH
    MONCKS CORNER, SC
    ZIP 29461
  • Facility Phone: 843 899-3870
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1033458047
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1100765
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE MONCKS CORNER
Street 459 HIGHWAY 52 NORTH
City MONCKS CORNER
State SC
ZIP 29461
Phone 843 899-3870
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 - URGENT CARE
Lab Director DR. SHELLEY L. JANSSEN

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