42D0981682 CLIA NUMBER - ACTIVE DAY OF LIBERTY

Laboratory Demographics

  • CLIA Code: 42D0981682
  • Facility Name: ACTIVE DAY OF LIBERTY
  • Facility Address: 102 WEST MAIN STREET
    LIBERTY, SC
    ZIP 29657
  • Facility Phone: (864) 843-0819
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KIM BEEMER
  • NPI Number: 1245370543
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0981682
LAB Type Other
Facility Name ACTIVE DAY OF LIBERTY
Street 102 WEST MAIN STREET
City LIBERTY
State SC
ZIP 29657
Phone 8648430819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Other
Lab Director KIM BEEMER

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This page was last updated on: 5/18/2026