42D2019722 CLIA NUMBER - NOVANT HEALTH URGENT CARE NEWBERRY

Laboratory Demographics

  • CLIA Code: 42D2019722
  • Facility Name: NOVANT HEALTH URGENT CARE NEWBERRY
  • Facility Address: 1410 WILSON ROAD
    NEWBERRY, SC
    ZIP 29108
  • Facility Phone: 803 782-4278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1578802526
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2019722
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE NEWBERRY
Street 1410 WILSON ROAD
City NEWBERRY
State SC
ZIP 29108
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