42D2038406 CLIA NUMBER - NOVANT HEALTH URGENT CARE RED BANK

Laboratory Demographics

  • CLIA Code: 42D2038406
  • Facility Name: NOVANT HEALTH URGENT CARE RED BANK
  • Facility Address: 1847 S LAKE DRIVE
    LEXINGTON, SC
    ZIP 29073
  • Facility Phone: 803 356-8998
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1952640807
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2038406
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE RED BANK
Street 1847 S LAKE DRIVE
City LEXINGTON
State SC
ZIP 29073
Phone 803 356-8998
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 Physician Office
Lab Director DR. SHELLEY L. JANSSEN

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