42D2112958 CLIA NUMBER - NOVANT HEALTH URGENT CARE MARKET COMMONS

Laboratory Demographics

  • CLIA Code: 42D2112958
  • Facility Name: NOVANT HEALTH URGENT CARE MARKET COMMONS
  • Facility Address: 2761 AGNES LANE
    MYRTLE BEACH, SC
    ZIP 29577
  • Facility Phone: 843 492-2710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELLEY L. JANSSEN
  • NPI Number: 1073852067
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2112958
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE MARKET COMMONS
Street 2761 AGNES LANE
City MYRTLE BEACH
State SC
ZIP 29577
Phone 843 492-2710
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 SHELLEY L. JANSSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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