10D2101186 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP, LLC

Laboratory Demographics

  • CLIA Code: 10D2101186
  • Facility Name: MILLENNIUM PHYSICIAN GROUP, LLC
  • Facility Address: 2350 VANDERBILT BEACH RD - STE 201
    NAPLES, FL
    ZIP 34109
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAN BARRIOS
  • NPI Number: 1497181341
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 10D2101186
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP, LLC
Street 2350 VANDERBILT BEACH RD - STE 201
City NAPLES
State FL
ZIP 34109
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 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director JAN BARRIOS

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