10D2264860 CLIA NUMBER - MILLENIUM MEDICAL GROUP CORP

Laboratory Demographics

  • CLIA Code: 10D2264860
  • Facility Name: MILLENIUM MEDICAL GROUP CORP
  • Facility Address: 11420 NORTH KENDALL DR SUITE 110
    MIAMI, FL
    ZIP 33176
  • Facility Phone: 786 332-4330
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MARIA J. HACHE
  • NPI Number: 1629585906
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2264860
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MILLENIUM MEDICAL GROUP CORP
Street 11420 NORTH KENDALL DR SUITE 110
City MIAMI
State FL
ZIP 33176
Phone 786 332-4330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MARIA J. HACHE

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