44D0875854 CLIA NUMBER - ROBERT J JANTZ MD

Laboratory Demographics

CLIA Number: 44D0875854

Facility Name: ROBERT J JANTZ MD

Facility Address:
706 CADET COURT
LEBANON, TN
ZIP 37087
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Facility Phone Number: 615 449-2472

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1194311100

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name Field Value
CLIA Number 44D0875854
LAB Type Physician Office
Facility Name ROBERT J JANTZ MD
Street 706 CADET COURT
City LEBANON
State TN
ZIP 37087
Phone 615 449-2472
CertificateType 3
CertificateEffectiveDate 8/1/2022
CertificateExpirationDate 7/31/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024