10D2279632 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2279632
  • Facility Name: MILLENNIUM PHYSICIAN GROUP LLC
  • Facility Address: 88 12TH ST N
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 941 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK HILBORN
  • NPI Number: 1013670090
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2279632
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP LLC
Street 88 12TH ST N
City NAPLES
State FL
ZIP 34102
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 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director MARK HILBORN

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