45D1071576 CLIA NUMBER - HEB PHARMACY #195

Laboratory Demographics

  • CLIA Code: 45D1071576
  • Facility Name: HEB PHARMACY #195
  • Facility Address: 11551 WEST AVENUE
    SAN ANTONIO, TX
    ZIP 78213
  • Facility Phone: 210 938-2195
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP CONNOR
  • NPI Number: 1316056393
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071576
LAB Type Pharmacy
Facility Name HEB PHARMACY #195
Street 11551 WEST AVENUE
City SAN ANTONIO
State TX
ZIP 78213
Phone 210 938-2195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director PHILIP CONNOR

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