42D2123120 CLIA NUMBER - NOVANT HEALTH URGENT CARE INDIAN LAND

Laboratory Demographics

  • CLIA Code: 42D2123120
  • Facility Name: NOVANT HEALTH URGENT CARE INDIAN LAND
  • Facility Address: 8384 CHARLOTTE HIGHWAY
    INDIAN LAND, SC
    ZIP 29707
  • Facility Phone: 803 547-2426
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHELLEY JANSSEN
  • NPI Number: 1861937377
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2123120
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE INDIAN LAND
Street 8384 CHARLOTTE HIGHWAY
City INDIAN LAND
State SC
ZIP 29707
Phone 803 547-2426
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 Other - URGENT CARE
Lab Director SHELLEY JANSSEN

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