45D1071556 CLIA NUMBER - HEB PHARMACY #189

Laboratory Demographics

  • CLIA Code: 45D1071556
  • Facility Name: HEB PHARMACY #189
  • Facility Address: 2130 CULEBRA
    SAN ANTONIO, TX
    ZIP 78228
  • Facility Phone: 210 737-1040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ISAAC M. GONZALES
  • NPI Number: 1659480085
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071556
LAB Type Pharmacy
Facility Name HEB PHARMACY #189
Street 2130 CULEBRA
City SAN ANTONIO
State TX
ZIP 78228
Phone 210 737-1040
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 ISAAC M. GONZALES

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