10D0944320 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP, LLC

Laboratory Demographics

  • CLIA Code: 10D0944320
  • Facility Name: MILLENNIUM PHYSICIAN GROUP, LLC
  • Facility Address: 4020 US 27 NORTH
    SEBRING, FL
    ZIP 33870
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARVIN D. MAXWELL
  • NPI Number: 1720001209
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0944320
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP, LLC
Street 4020 US 27 NORTH
City SEBRING
State FL
ZIP 33870
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 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director MARVIN D. MAXWELL

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