45D1001771 CLIA NUMBER - ELITE INTERNS LLC DBA ELITE HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 45D1001771
  • Facility Name: ELITE INTERNS LLC DBA ELITE HEALTH AND WELLNESS
  • Facility Address: 8067 WEST VIRGINIA DRIVE
    DALLAS, TX
    ZIP 75237
  • Facility Phone: 972 230-5601
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLADELE O. OLUSANYA, MD
  • NPI Number: 1417078411
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1001771
LAB Type Physician Office
Facility Name ELITE INTERNS LLC DBA ELITE HEALTH AND WELLNESS
Street 8067 WEST VIRGINIA DRIVE
City DALLAS
State TX
ZIP 75237
Phone 972 230-5601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director OLADELE O. OLUSANYA, MD

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