45D2245262 CLIA NUMBER - ELITE EXAMINER'S LLC

Laboratory Demographics

  • CLIA Code: 45D2245262
  • Facility Name: ELITE EXAMINER'S LLC
  • Facility Address: 9445 GOLDENVIEW DR
    FORT WORTH, TX
    ZIP 76244
  • Facility Phone: 214 554-0595
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: NISHI DAVIS DICKERSON
  • NPI Number: 1245714914
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 45D2245262
LAB Type Mobile Laboratory
Facility Name ELITE EXAMINER'S LLC
Street 9445 GOLDENVIEW DR
City FORT WORTH
State TX
ZIP 76244
Phone 214 554-0595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Mobile Laboratory
Lab Director NISHI DAVIS DICKERSON

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