10D2057722 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 10D2057722
  • Facility Name: MILLENNIUM PHYSICIAN GROUP
  • Facility Address: 9960 ATRIUM WAY
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: 941 787-7665
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: OSCAR RODAS
  • NPI Number: 1205508991
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2057722
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILLENNIUM PHYSICIAN GROUP
Street 9960 ATRIUM WAY
City JACKSONVILLE
State FL
ZIP 32225
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 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director OSCAR RODAS

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