CLIA lab

CLIA 42D0860669: Liberty Doctors DBA Mackey Family Practice PA

Lancaster, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D0860669 belongs to Liberty Doctors DBA Mackey Family Practice PA in Lancaster, SC.

Certificate of Waiver, effective December 1, 2025, expires November 30, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 1, 2025
Certificate expiration
November 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
42D0860669
Lab name
Liberty Doctors DBA Mackey Family Practice PA
Address
1025 W Meeting St, Lancaster, SC 29720
Phone
(803) 285-7414
Fax
(803) 396-5350

Annual test volume the lab reported

Waived tests
120

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Liberty Doctors DBA Mackey Family Practice PA in Lancaster?

42D0860669, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Liberty Doctors DBA Mackey Family Practice PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D0860669 expire?

The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.

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