45D1071551 CLIA NUMBER - HEB PHARMACY #770

Laboratory Demographics

  • CLIA Code: 45D1071551
  • Facility Name: HEB PHARMACY #770
  • Facility Address: 300 MAIN STREET
    KERRVILLE, TX
    ZIP 78028
  • Facility Phone: 210 938-2770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY BOHMFALK
  • NPI Number: 1134402720
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071551
LAB Type Pharmacy
Facility Name HEB PHARMACY #770
Street 300 MAIN STREET
City KERRVILLE
State TX
ZIP 78028
Phone 210 938-2770
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 ZACHARY BOHMFALK

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