11D0990931 CLIA NUMBER - RANDY S LENTZ, MD

Laboratory Demographics

  • CLIA Code: 11D0990931
  • Facility Name: RANDY S LENTZ, MD
  • Facility Address: 182 SUNSET BOULEVARD
    JESUP, GA
    ZIP 31545
  • Facility Phone: 912 427-4827
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDY S. LENTZ MD
  • NPI Number: 1205832227
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0990931
LAB Type Physician Office
Facility Name RANDY S LENTZ, MD
Street 182 SUNSET BOULEVARD
City JESUP
State GA
ZIP 31545
Phone 912 427-4827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director RANDY S. LENTZ MD

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