45D0885704 CLIA NUMBER - LA ESPERANZA CLINIC

Laboratory Demographics

CLIA Number: 45D0885704

Facility Name: LA ESPERANZA CLINIC

Facility Address:
1610 SOUTH CHADBOURNE
SAN ANGELO, TX
ZIP 76903
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Facility Phone Number: 325 947-5601

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1477553832

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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
CertificateType	3
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024