CLIA lab

CLIA 10D0695656: Millennium Physician Group, LLC

Saint Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D0695656 belongs to Millennium Physician Group, LLC in Saint Augustine, FL.

Certificate of Waiver, effective September 2, 2025, expires September 1, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 2, 2025
Certificate expiration
September 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 15, 1994
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D0695656
Lab name
Millennium Physician Group, LLC
Address
16 St Johns Medical Park Dr, Saint Augustine, FL 32086
Phone
(941) 787-7665
Fax
(941) 391-5777

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Saint Augustine, FL

Related

Questions

What is the CLIA number for Millennium Physician Group, LLC in Saint Augustine?

10D0695656, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Millennium Physician Group, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0695656 expire?

The CMS file lists September 1, 2027 as the certificate expiration date; the certificate took effect September 2, 2025.

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