10D2145174 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP

Laboratory Demographics

CLIA Number: 10D2145174

Facility Name: MILLENNIUM PHYSICIAN GROUP

Facility Address:
2227 US 27 SOUTH
SEBRING, FL
ZIP 33870
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Facility Phone Number: 941 764-1880

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245902832

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2145174
LAB Type	Physician Office
Facility Name	MILLENNIUM PHYSICIAN GROUP
Street	2227 US 27 SOUTH
City	SEBRING
State	FL
ZIP	33870
Phone	941 764-1880
CertificateType	4
CertificateEffectiveDate	3/2/2024
CertificateExpirationDate	3/1/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024