34D2045925 CLIA NUMBER - MILLENNIUM PHYSICIAN GROUP OF NC PLLC

Laboratory Demographics

  • CLIA Code: 34D2045925
  • Facility Name: MILLENNIUM PHYSICIAN GROUP OF NC PLLC
  • Facility Address: 11009 INGLESIDE PLACE, SUITE 201
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: 941 787-7665
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ALKA SACHDEVA
  • NPI Number: 1851691570
  • Taxonomy: 146M00000X - Emergency Medical Technician, Intermediate

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CLIA Record

Field Name Field Value
CLIA Number 34D2045925
LAB Type Community Clinic
Facility Name MILLENNIUM PHYSICIAN GROUP OF NC PLLC
Street 11009 INGLESIDE PLACE, SUITE 201
City RALEIGH
State NC
ZIP 27614
Phone 941 787-7665
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Community Clinic
Lab Director ALKA SACHDEVA

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