45D2204990 CLIA NUMBER - ECLIPSE CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 45D2204990
  • Facility Name: ECLIPSE CLINIC, PLLC
  • Facility Address: 1006 LEGACY RANCH RD SUITE 104
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 469 290-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUSTIN R. LEEK
  • NPI Number: 1710551585
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 45D2204990
LAB Type Physician Office
Facility Name ECLIPSE CLINIC, PLLC
Street 1006 LEGACY RANCH RD SUITE 104
City WAXAHACHIE
State TX
ZIP 75165
Phone 469 290-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director DUSTIN R. LEEK

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