CLIA lab

CLIA 42D2283595: Liberty Doctors LLC DBA Ebb Tide Comprehensive

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

CLIA number 42D2283595 belongs to Liberty Doctors LLC DBA Ebb Tide Comprehensive in Goose Creek, SC.

Certificate of Waiver, effective June 9, 2025, expires June 8, 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
June 9, 2025
Certificate expiration
June 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 9, 2023
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
42D2283595
Lab name
Liberty Doctors LLC DBA Ebb Tide Comprehensive
Additional name
Care
Address
110 B Springhall Drive, Goose Creek, SC 29445
Phone
(843) 990-5067
Fax
(843) 225-3549

Annual test volume the lab reported

Waived tests
200

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

Other labs in Goose Creek, SC

Related

Questions

What is the CLIA number for Liberty Doctors LLC DBA Ebb Tide Comprehensive in Goose Creek?

42D2283595, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Liberty Doctors LLC DBA Ebb Tide Comprehensive hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2283595 expire?

The CMS file lists June 8, 2027 as the certificate expiration date; the certificate took effect June 9, 2025.

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