10D2124342 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP, LLC

Laboratory Demographics

  • CLIA Code: 10D2124342
  • Facility Name: MILLENNIUM PHYSICIAN GROUP, LLC
  • Facility Address: 830 N MILLS AVE
    ARCADIA, FL
    ZIP 34266
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN V. PICCIONE
  • NPI Number: 1659044774
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2124342
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP, LLC
Street 830 N MILLS AVE
City ARCADIA
State FL
ZIP 34266
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 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director STEPHEN V. PICCIONE

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