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42D0950827 CLIA NUMBER - LIBERTY DOCTORS DBA HUGH D DURRENCE, MD

Laboratory Demographics

CLIA Number: 42D0950827

Facility Name: LIBERTY DOCTORS DBA HUGH D DURRENCE, MD

Facility Address:
418 FOLLY ROAD, SUITE A
CHARLESTON, SC
ZIP 29412
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Facility Phone Number: 843 442-5908

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1689051369

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 42D0950827
LAB Type Physician Office
Facility Name LIBERTY DOCTORS DBA HUGH D DURRENCE, MD
Street 418 FOLLY ROAD, SUITE A
City CHARLESTON
State SC
ZIP 29412
Phone 843 442-5908
CertificateType 4
CertificateEffectiveDate 4/19/2023
CertificateExpirationDate 4/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024