42D2075023 CLIA NUMBER - LIBERTY DOCTORS, LLC, DBA TIFFANY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 42D2075023
  • Facility Name: LIBERTY DOCTORS, LLC, DBA TIFFANY PEDIATRICS
  • Facility Address: 215 TOWN CREEK ROAD
    AIKEN, SC
    ZIP 29803
  • Facility Phone: 803 508-7651
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DONALD HANNA
  • NPI Number: 1588119556
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D2075023
LAB Type Physician Office
Facility Name LIBERTY DOCTORS, LLC, DBA TIFFANY PEDIATRICS
Street 215 TOWN CREEK ROAD
City AIKEN
State SC
ZIP 29803
Phone 803 508-7651
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/1/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DONALD HANNA

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