44D2323307 CLIA NUMBER - ROUNDTREE MENTAL HEALTH GROUP PLLC

Laboratory Demographics

  • CLIA Code: 44D2323307
  • Facility Name: ROUNDTREE MENTAL HEALTH GROUP PLLC
  • Facility Address: 1633 W MAIN ST, SUITE 1401
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 931 288-4619
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JORDAN T. ROUNDTREE
  • NPI Number: 1376308635
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2323307
LAB Type Practitioner Other
Facility Name ROUNDTREE MENTAL HEALTH GROUP PLLC
Street 1633 W MAIN ST, SUITE 1401
City LEBANON
State TN
ZIP 37087
Phone 931 288-4619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Practitioner Other
Lab Director JORDAN T. ROUNDTREE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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