10D2249241 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2249241
  • Facility Name: MILLENNIUM PHYSICIAN GROUP LLC
  • Facility Address: 421 COMMERCIAL COURT SUITE A
    VENICE, FL
    ZIP 34292
  • Facility Phone: 941 499-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT DUBIN
  • NPI Number: 1477225076
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2249241
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP LLC
Street 421 COMMERCIAL COURT SUITE A
City VENICE
State FL
ZIP 34292
Phone 941 499-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director ROBERT DUBIN

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: 9/29/2025