10D0294863 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP LLC CC HAYES

Laboratory Demographics

  • CLIA Code: 10D0294863
  • Facility Name: MILLENNIUM PHYSICIAN GROUP LLC CC HAYES
  • Facility Address: 1708 CAPE CORAL PARKWAY STE G
    CAPE CORAL, FL
    ZIP 33914
  • Facility Phone: 941 764-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. HAYES
  • NPI Number: 1740952506
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0294863
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP LLC CC HAYES
Street 1708 CAPE CORAL PARKWAY STE G
City CAPE CORAL
State FL
ZIP 33914
Phone 941 764-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director WILLIAM A. HAYES

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