10D2154117 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 10D2154117
  • Facility Name: MILLENNIUM PHYSICIAN GROUP
  • Facility Address: 7751 BAYMEADOWS RD EAST STE H & G
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: (941) 764-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD F. TAJ

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2154117
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP
Street 7751 BAYMEADOWS RD EAST STE H & G
City JACKSONVILLE
State FL
ZIP 32256
Phone 9417641880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director MOHAMMAD F. TAJ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/15/2026