45D1071577 CLIA NUMBER - HEB PHARMACY 205 LP

Laboratory Demographics

  • CLIA Code: 45D1071577
  • Facility Name: HEB PHARMACY 205 LP
  • Facility Address: 721 CASTROVILLE ROAD
    SAN ANTONIO, TX
    ZIP 78237
  • Facility Phone: 210 436-6465
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HECTOR COLLAZO
  • NPI Number: 1740399187
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1071577
LAB Type Pharmacy
Facility Name HEB PHARMACY 205 LP
Street 721 CASTROVILLE ROAD
City SAN ANTONIO
State TX
ZIP 78237
Phone 210 436-6465
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 HECTOR COLLAZO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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