45D1012475 CLIA NUMBER - HEB PHARMACY, 497, LP

Laboratory Demographics

  • CLIA Code: 45D1012475
  • Facility Name: HEB PHARMACY, 497, LP
  • Facility Address: 1621 MASON ROAD
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 599-0958
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WALTER RIVAS
  • NPI Number: 1477662898
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1012475
LAB Type Pharmacy
Facility Name HEB PHARMACY, 497, LP
Street 1621 MASON ROAD
City KATY
State TX
ZIP 77450
Phone 281 599-0958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director WALTER RIVAS

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