10D2158574 CLIA NUMBER - MILLENIUM MEDICAL GROUP CORP

Laboratory Demographics

  • CLIA Code: 10D2158574
  • Facility Name: MILLENIUM MEDICAL GROUP CORP
  • Facility Address: 2720 SW 97TH AVE C-105
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 786 332-4330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL A. FRANCO
  • NPI Number: 1659049963
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 10D2158574
LAB Type Physician Office
Facility Name MILLENIUM MEDICAL GROUP CORP
Street 2720 SW 97TH AVE C-105
City MIAMI
State FL
ZIP 33165
Phone 786 332-4330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director MANUEL A. FRANCO

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