05D1039830 CLIA NUMBER - JUAN A ESCOBAR MD

Laboratory Demographics

  • CLIA Code: 05D1039830
  • Facility Name: JUAN A ESCOBAR MD
  • Facility Address: 1711 WEST TEMPLE ST STE 3600
    LOS ANGELES, CA
    ZIP 90026
  • Facility Phone: 213 989-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN ESCOBAR MD
  • NPI Number: 1932324696
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1039830
LAB Type Physician Office
Facility Name JUAN A ESCOBAR MD
Street 1711 WEST TEMPLE ST STE 3600
City LOS ANGELES
State CA
ZIP 90026
Phone 213 989-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director JUAN ESCOBAR MD

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