45D2046439 CLIA NUMBER - MILLENNIUM PHYSICIANS ASSOCIATION, PLLC

Laboratory Demographics

  • CLIA Code: 45D2046439
  • Facility Name: MILLENNIUM PHYSICIANS ASSOCIATION, PLLC
  • Facility Address: 17070 RED OAK DRIVE SUITE 200
    HOUSTON, TX
    ZIP 77090
  • Facility Phone: 281 444-7077
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DON L. BERARDINUCCI
  • NPI Number: 1356919641
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2046439
LAB Type Physician Office
Facility Name MILLENNIUM PHYSICIANS ASSOCIATION, PLLC
Street 17070 RED OAK DRIVE SUITE 200
City HOUSTON
State TX
ZIP 77090
Phone 281 444-7077
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 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director DON L. BERARDINUCCI

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