45D2307797 CLIA NUMBER - ELITE INTERNS PLLC

Laboratory Demographics

  • CLIA Code: 45D2307797
  • Facility Name: ELITE INTERNS PLLC
  • Facility Address: 6330 BROADWAY BLVD, SUITE-C
    GARLAND, TX
    ZIP 75043
  • Facility Phone: 972 686-1234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAQUITA SHEPHERD
  • NPI Number: 1073968517
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2307797
LAB Type Physician Office
Facility Name ELITE INTERNS PLLC
Street 6330 BROADWAY BLVD, SUITE-C
City GARLAND
State TX
ZIP 75043
Phone 972 686-1234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director LAQUITA SHEPHERD

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