45D1071554 CLIA NUMBER - HEB PHARMACY 716

Laboratory Demographics

  • CLIA Code: 45D1071554
  • Facility Name: HEB PHARMACY 716
  • Facility Address: 1340 EAST COURT STREET
    SEGUIN, TX
    ZIP 78155
  • Facility Phone: 830 379-0160
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT BEASLEY
  • NPI Number: 1447369871
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071554
LAB Type Pharmacy
Facility Name HEB PHARMACY 716
Street 1340 EAST COURT STREET
City SEGUIN
State TX
ZIP 78155
Phone 830 379-0160
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 VINCENT BEASLEY

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