44D1010893 CLIA NUMBER - MATTHEW E SCHANTZ MD

Laboratory Demographics

  • CLIA Code: 44D1010893
  • Facility Name: MATTHEW E SCHANTZ MD
  • Facility Address: 206 MILITARY AVENUE SUITE #1
    LORETTO, TN
    ZIP 38469
  • Facility Phone: 931 853-6137
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW E. SCHANTZ MD
  • NPI Number: 1427096262
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1010893
LAB Type Physician Office
Facility Name MATTHEW E SCHANTZ MD
Street 206 MILITARY AVENUE SUITE #1
City LORETTO
State TN
ZIP 38469
Phone 931 853-6137
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director MATTHEW E. SCHANTZ MD

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