45D2188144 CLIA NUMBER - ELITE INTERNS, LLC DBA ELITE HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 45D2188144
  • Facility Name: ELITE INTERNS, LLC DBA ELITE HEALTH AND WELLNESS
  • Facility Address: 5506 BROADWAY BLVD
    GARLAND, TX
    ZIP 75043
  • Facility Phone: 972 303-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KETAN PATEL
  • NPI Number: 1356973655
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2188144
LAB Type Physician Office
Facility Name ELITE INTERNS, LLC DBA ELITE HEALTH AND WELLNESS
Street 5506 BROADWAY BLVD
City GARLAND
State TX
ZIP 75043
Phone 972 303-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director KETAN PATEL

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