42D2042291 CLIA NUMBER - NOVANT HEALTH URGENT CARE LITTLE RIVER

Laboratory Demographics

  • CLIA Code: 42D2042291
  • Facility Name: NOVANT HEALTH URGENT CARE LITTLE RIVER
  • Facility Address: 2246 HWY 17
    LITTLE RIVER, SC
    ZIP 29566
  • Facility Phone: 803 782-4278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1689913675
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2042291
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE LITTLE RIVER
Street 2246 HWY 17
City LITTLE RIVER
State SC
ZIP 29566
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