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

Laboratory Demographics

  • CLIA Code: 42D0950827
  • Facility Name: LIBERTY DOCTORS DBA HUGH D DURRENCE, MD
  • Facility Address: 418 FOLLY ROAD, SUITE A
    CHARLESTON, SC
    ZIP 29412
  • Facility Phone: 843 442-5908
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HUGH D. DURRENCE
  • NPI Number: 1689051369
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director DR. HUGH D. DURRENCE

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