10D2140964 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 10D2140964
  • Facility Name: MILLENNIUM PHYSICIAN GROUP
  • Facility Address: 1855 VETERANS PARK DR STE 101
    NAPLES, FL
    ZIP 34109
  • Facility Phone: 941 764-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL Y. WANG
  • NPI Number: 1023771011
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2140964
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP
Street 1855 VETERANS PARK DR STE 101
City NAPLES
State FL
ZIP 34109
Phone 941 764-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director MICHAEL Y. WANG

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