45D1071541 CLIA NUMBER - HEB PHARMACY #054, LP

Laboratory Demographics

  • CLIA Code: 45D1071541
  • Facility Name: HEB PHARMACY #054, LP
  • Facility Address: 9828 BLACK HAWK BLVD
    HOUSTON, TX
    ZIP 77075
  • Facility Phone: 713 991-3762
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN SANCHEZ
  • NPI Number: 1306963699
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071541
LAB Type Pharmacy
Facility Name HEB PHARMACY #054, LP
Street 9828 BLACK HAWK BLVD
City HOUSTON
State TX
ZIP 77075
Phone 713 991-3762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director JONATHAN SANCHEZ

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