45D2036082 CLIA NUMBER - EDWARD LEE HOLT, DO, PA

Laboratory Demographics

  • CLIA Code: 45D2036082
  • Facility Name: EDWARD LEE HOLT, DO, PA
  • Facility Address: 1795 N HIGHWAY 77, SUITE 103
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 937-1588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD L. HOLT
  • NPI Number: 1609970003
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2036082
LAB Type Physician Office
Facility Name EDWARD LEE HOLT, DO, PA
Street 1795 N HIGHWAY 77, SUITE 103
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 937-1588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director EDWARD L. HOLT

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