45D1071548 CLIA NUMBER - HEB PHARMACY #020 LP

Laboratory Demographics

  • CLIA Code: 45D1071548
  • Facility Name: HEB PHARMACY #020 LP
  • Facility Address: 24224 NORTHWEST FREEWAY
    CYPRESS, TX
    ZIP 77429
  • Facility Phone: 281 758-1155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT FREDRICKSON
  • NPI Number: 1619164498
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071548
LAB Type Pharmacy
Facility Name HEB PHARMACY #020 LP
Street 24224 NORTHWEST FREEWAY
City CYPRESS
State TX
ZIP 77429
Phone 281 758-1155
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 SCOTT FREDRICKSON

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