10D0947481 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 10D0947481
  • Facility Name: MILLENNIUM PHYSICIAN GROUP
  • Facility Address: 25086 OLYMPIA AVE STE 320
    PUNTA GORDA, FL
    ZIP 33950
  • Facility Phone: 941 764-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY L. HUNDT MD
  • NPI Number: 1326701319
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0947481
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP
Street 25086 OLYMPIA AVE STE 320
City PUNTA GORDA
State FL
ZIP 33950
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 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director NANCY L. HUNDT MD

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