45D1071555 CLIA NUMBER - HEB PHARMACY 178

Laboratory Demographics

  • CLIA Code: 45D1071555
  • Facility Name: HEB PHARMACY 178
  • Facility Address: 6839 SAN PEDRO
    SAN ANTONIO, TX
    ZIP 78216
  • Facility Phone: 210 938-8915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CONNIE HARRIS
  • NPI Number: 1265541619
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071555
LAB Type Pharmacy
Facility Name HEB PHARMACY 178
Street 6839 SAN PEDRO
City SAN ANTONIO
State TX
ZIP 78216
Phone 210 938-8915
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 CONNIE HARRIS

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