45D2303642 CLIA NUMBER - ELIXIR MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D2303642
  • Facility Name: ELIXIR MEDICAL CENTER
  • Facility Address: 15340 DALLAS PARKWAY SUITE 2740
    DALLAS, TX
    ZIP 75248
  • Facility Phone: 496 396-4126
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOSTAFA S. ELSAKKA
  • NPI Number: 1801588017
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2303642
LAB Type Physician Office
Facility Name ELIXIR MEDICAL CENTER
Street 15340 DALLAS PARKWAY SUITE 2740
City DALLAS
State TX
ZIP 75248
Phone 496 396-4126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director MOSTAFA S. ELSAKKA

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