42D2021424 CLIA NUMBER - MILLENNIUM INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 42D2021424
  • Facility Name: MILLENNIUM INTERNAL MEDICINE
  • Facility Address: 2 INNOVATION DR, SUITE 300A
    GREENVILLE, SC
    ZIP 29607
  • Facility Phone: 864 365-0123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LEONARD W. PUGH
  • NPI Number: 1518285691
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2021424
LAB Type Physician Office
Facility Name MILLENNIUM INTERNAL MEDICINE
Street 2 INNOVATION DR, SUITE 300A
City GREENVILLE
State SC
ZIP 29607
Phone 864 365-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director DR. LEONARD W. PUGH

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