10D2121953 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2121953
  • Facility Name: MILLENNIUM PHYSICIAN GROUP LLC
  • Facility Address: 3369 PINE RIDGE RD STE 203
    NAPLES, FL
    ZIP 34109
  • Facility Phone: 239 631-2662
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DANIEL A. OSTLER
  • NPI Number: 1861164519
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2121953
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP LLC
Street 3369 PINE RIDGE RD STE 203
City NAPLES
State FL
ZIP 34109
Phone 239 631-2662
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 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director DR. DANIEL A. OSTLER

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