45D0885704 CLIA NUMBER - LA ESPERANZA CLINIC

Laboratory Demographics

  • CLIA Code: 45D0885704
  • Facility Name: LA ESPERANZA CLINIC
  • Facility Address: 1610 SOUTH CHADBOURNE
    SAN ANGELO, TX
    ZIP 76903
  • Facility Phone: 325 947-5601
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MARC WIMPEE
  • NPI Number: 1477553832
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0885704
LAB Type Community Clinic
Facility Name LA ESPERANZA CLINIC
Street 1610 SOUTH CHADBOURNE
City SAN ANGELO
State TX
ZIP 76903
Phone 325 947-5601
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Community Clinic
Lab Director MARC WIMPEE

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