10D2197337 CLIA NUMBER - NEW MILLENNIUM TRAINING LLC

Laboratory Demographics

  • CLIA Code: 10D2197337
  • Facility Name: NEW MILLENNIUM TRAINING LLC
  • Facility Address: 20124 WEST CENTRAL AVENUE
    BLOUNTSTOWN, FL
    ZIP 32424
  • Facility Phone: 850 447-1720
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MARSHELL SOLOMON
  • NPI Number: 1134729700
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2197337
LAB Type Independent
Facility Name NEW MILLENNIUM TRAINING LLC
Street 20124 WEST CENTRAL AVENUE
City BLOUNTSTOWN
State FL
ZIP 32424
Phone 850 447-1720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Independent
Lab Director MARSHELL SOLOMON

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