10D2259171 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP, LLC

Laboratory Demographics

  • CLIA Code: 10D2259171
  • Facility Name: MILLENNIUM PHYSICIAN GROUP, LLC
  • Facility Address: 3231 GULF GATE DR STE 201
    SARASOTA, FL
    ZIP 34231
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSHNI PATEL
  • NPI Number: 1417629270
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2259171
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP, LLC
Street 3231 GULF GATE DR STE 201
City SARASOTA
State FL
ZIP 34231
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 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director ROSHNI PATEL

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