15D0879286 CLIA NUMBER - ESGUERRA MEDICAL PRACTICE INC

Laboratory Demographics

  • CLIA Code: 15D0879286
  • Facility Name: ESGUERRA MEDICAL PRACTICE INC
  • Facility Address: 2125 HWY 54 E
    LINTON, IN
    ZIP 47441
  • Facility Phone: 812 847-8711
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL R. ESGUERRA
  • NPI Number: 1720256068
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0879286
LAB Type Physician Office
Facility Name ESGUERRA MEDICAL PRACTICE INC
Street 2125 HWY 54 E
City LINTON
State IN
ZIP 47441
Phone 812 847-8711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director PAUL R. ESGUERRA

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