10D2218478 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 10D2218478
  • Facility Name: MILLENNIUM PHYSICIAN GROUP
  • Facility Address: 2649 WINDGUARD CIR STE 101
    WESLEY CHAPEL, FL
    ZIP 33544
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEKTARIOS DEMETRIOU
  • NPI Number: 1336811934
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2218478
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP
Street 2649 WINDGUARD CIR STE 101
City WESLEY CHAPEL
State FL
ZIP 33544
Phone 941 787-7665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director NEKTARIOS DEMETRIOU

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