10D2014331 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2014331
  • Facility Name: MILLENNIUM PHYSICIAN GROUP LLC
  • Facility Address: 4525 THOMASSON DR STE 103
    NAPLES, FL
    ZIP 34112
  • Facility Phone: 941 235-3447
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JULIA HARRIS
  • NPI Number: 1851063515
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2014331
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP LLC
Street 4525 THOMASSON DR STE 103
City NAPLES
State FL
ZIP 34112
Phone 941 235-3447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director DR. JULIA HARRIS

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