42D2138833 CLIA NUMBER - NOVANT HEALTH URGENT CARE MAULDIN

Laboratory Demographics

  • CLIA Code: 42D2138833
  • Facility Name: NOVANT HEALTH URGENT CARE MAULDIN
  • Facility Address: 793 EAST BUTLER RD
    MAULDIN, SC
    ZIP 29662
  • Facility Phone: 803 782-4278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1831601814
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2138833
LAB Type Physician Office
Facility Name NOVANT HEALTH URGENT CARE MAULDIN
Street 793 EAST BUTLER RD
City MAULDIN
State SC
ZIP 29662
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