10D1040302 CLIA NUMBER - MILLENNIUM SURGERY CENTERS OF FLORIDA, LLC

Laboratory Demographics

  • CLIA Code: 10D1040302
  • Facility Name: MILLENNIUM SURGERY CENTERS OF FLORIDA, LLC
  • Facility Address: 8380 RIVERWALK PARK BLVD STE 220
    FORT MYERS, FL
    ZIP 33919
  • Facility Phone: 941 787-7665
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JULIAN SISON
  • NPI Number: 1023444874
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 10D1040302
LAB Type Ambulatory Surgery Center
Facility Name MILLENNIUM SURGERY CENTERS OF FLORIDA, LLC
Street 8380 RIVERWALK PARK BLVD STE 220
City FORT MYERS
State FL
ZIP 33919
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 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Ambulatory Surgery Center
Lab Director JULIAN SISON

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