42D2010213 CLIA NUMBER - NOVANT HEALTH URGENT CARE EASLEY

Laboratory Demographics

  • CLIA Code: 42D2010213
  • Facility Name: NOVANT HEALTH URGENT CARE EASLEY
  • Facility Address: 832 POWDERSVILLE RD
    EASLEY, SC
    ZIP 29642
  • Facility Phone: 803 782-4278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1417296393
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2010213
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE EASLEY
Street 832 POWDERSVILLE RD
City EASLEY
State SC
ZIP 29642
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