45D1071557 CLIA NUMBER - HEB PHARMACY #613

Laboratory Demographics

  • CLIA Code: 45D1071557
  • Facility Name: HEB PHARMACY #613
  • Facility Address: 8219 MARBACH ROAD
    SAN ANTONIO, TX
    ZIP 78227
  • Facility Phone: 210 983-8915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARCO VIDAURRI
  • NPI Number: 1912016346
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071557
LAB Type Pharmacy
Facility Name HEB PHARMACY #613
Street 8219 MARBACH ROAD
City SAN ANTONIO
State TX
ZIP 78227
Phone 210 983-8915
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 MARCO VIDAURRI

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