42D2267592 CLIA NUMBER - LIBERTY DOCTORS, LLC DBA INTERNAL MEDICINE OF EDISTO

Laboratory Demographics

  • CLIA Code: 42D2267592
  • Facility Name: LIBERTY DOCTORS, LLC DBA INTERNAL MEDICINE OF EDISTO
  • Facility Address: 134 JUNGLE ROAD
    EDISTO BEACH, SC
    ZIP 29438
  • Facility Phone: 843 897-7757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KIMBERLY RAKES-STEPHENS
  • NPI Number: 1033844253
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2267592
LAB Type Physician Office
Facility Name LIBERTY DOCTORS, LLC DBA INTERNAL MEDICINE OF EDISTO
Street 134 JUNGLE ROAD
City EDISTO BEACH
State SC
ZIP 29438
Phone 843 897-7757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director DR. KIMBERLY RAKES-STEPHENS

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