10D1093121 CLIA NUMBER - MILLENNIUM MEDICAL MANAGEMENT LLC

Laboratory Demographics

  • CLIA Code: 10D1093121
  • Facility Name: MILLENNIUM MEDICAL MANAGEMENT LLC
  • Facility Address: 7955 SPYGLASS HILL RD STE A
    MELBOURNE, FL
    ZIP 32940
  • Facility Phone: 321 255-6670
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PHILLIP M. DEMOLA
  • NPI Number: 1366645376
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D1093121
LAB Type Physician Office
Facility Name MILLENNIUM MEDICAL MANAGEMENT LLC
Street 7955 SPYGLASS HILL RD STE A
City MELBOURNE
State FL
ZIP 32940
Phone 321 255-6670
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director PHILLIP M. DEMOLA

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