05D1078705 CLIA NUMBER - MILLENNIUM HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 05D1078705
  • Facility Name: MILLENNIUM HEALTH, LLC
  • Facility Address: 16981 VIA TAZON BLDG 1
    SAN DIEGO, CA
    ZIP 92127
  • Facility Phone: 858 395-4544
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: MIRIAM J. BLOCH
  • NPI Number: 1548502255
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D1078705
LAB Type Independent
Facility Name MILLENNIUM HEALTH, LLC
Street 16981 VIA TAZON BLDG 1
City SAN DIEGO
State CA
ZIP 92127
Phone 858 395-4544
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Independent
Lab Director MIRIAM J. BLOCH

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