10D2293975 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP, LLC

Laboratory Demographics

  • CLIA Code: 10D2293975
  • Facility Name: MILLENNIUM PHYSICIAN GROUP, LLC
  • Facility Address: 2310 TAMIAMI TRAIL SUITE 2101
    PUNTA GORDA, FL
    ZIP 33950
  • Facility Phone: (941) 787-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIATKO SALOPEK
  • NPI Number: 1326701319
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2293975
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIAN GROUP, LLC
Street 2310 TAMIAMI TRAIL SUITE 2101
City PUNTA GORDA
State FL
ZIP 33950
Phone 9417877665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2025
Certificate Expiration Date 11/16/2027
Facility Type Physician Office
Lab Director VIATKO SALOPEK

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This page was last updated on: 5/15/2026