45D1071547 CLIA NUMBER - HEB PHARMACY 84

Laboratory Demographics

  • CLIA Code: 45D1071547
  • Facility Name: HEB PHARMACY 84
  • Facility Address: 6818 SOUTH ZARZAMORA
    SAN ANTONIO, TX
    ZIP 78224
  • Facility Phone: 210 938-2084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEUN FARIYIKE
  • NPI Number: 1477662807
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071547
LAB Type Pharmacy
Facility Name HEB PHARMACY 84
Street 6818 SOUTH ZARZAMORA
City SAN ANTONIO
State TX
ZIP 78224
Phone 210 938-2084
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 SEUN FARIYIKE

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