45D0963463 CLIA NUMBER - HEB PHARMACY #465

Laboratory Demographics

  • CLIA Code: 45D0963463
  • Facility Name: HEB PHARMACY #465
  • Facility Address: 2701 E SEVENTH
    AUSTIN, TX
    ZIP 78702
  • Facility Phone: 512 478-8086
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUN SEO
  • NPI Number: 1780793125
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0963463
LAB Type Pharmacy
Facility Name HEB PHARMACY #465
Street 2701 E SEVENTH
City AUSTIN
State TX
ZIP 78702
Phone 512 478-8086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director SUN SEO

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