10D2145178 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 10D2145178
  • Facility Name: MILLENNIUM PHYSICIAN GROUP
  • Facility Address: 1659 US 27 NORTH
    AVON PARK, FL
    ZIP 33825
  • Facility Phone: 941 764-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNAINA KHURANA
  • NPI Number: 1982377008
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2145178
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP
Street 1659 US 27 NORTH
City AVON PARK
State FL
ZIP 33825
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 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director SUNAINA KHURANA

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