10D0667140 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D0667140
  • Facility Name: MILLENNIUM PHYSICIAN GROUP LLC
  • Facility Address: 10484 STRINGFELLOW BLVD STE 1
    SAINT JAMES CITY, FL
    ZIP 33956
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCISCO D. MARASIGAN
  • NPI Number: 1861164451
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0667140
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP LLC
Street 10484 STRINGFELLOW BLVD STE 1
City SAINT JAMES CITY
State FL
ZIP 33956
Phone 941 787-7665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type Physician Office
Lab Director FRANCISCO D. MARASIGAN

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