10D2241150 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP, LLC

Laboratory Demographics

  • CLIA Code: 10D2241150
  • Facility Name: MILLENNIUM PHYSICIAN GROUP, LLC
  • Facility Address: 6376 PINE RIDGE RD - STE 440
    NAPLES, FL
    ZIP 34119
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SADIQ AL-NAKEEB
  • NPI Number: 1215609961
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2241150
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP, LLC
Street 6376 PINE RIDGE RD - STE 440
City NAPLES
State FL
ZIP 34119
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 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director SADIQ AL-NAKEEB

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