45D2308047 CLIA NUMBER - LA ESPERANZA CLINIC WEST

Laboratory Demographics

  • CLIA Code: 45D2308047
  • Facility Name: LA ESPERANZA CLINIC WEST
  • Facility Address: 34 BUICK ST
    SAN ANGELO, TX
    ZIP 76901
  • Facility Phone: 325 658-5339
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR MARC WIMPEE
  • NPI Number: 1487424602
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2308047
LAB Type Federally Qualified Health Center
Facility Name LA ESPERANZA CLINIC WEST
Street 34 BUICK ST
City SAN ANGELO
State TX
ZIP 76901
Phone 325 658-5339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Federally Qualified Health Center
Lab Director DR MARC WIMPEE

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