45D1071590 CLIA NUMBER - HEB PHARMACY 492, LP

Laboratory Demographics

  • CLIA Code: 45D1071590
  • Facility Name: HEB PHARMACY 492, LP
  • Facility Address: 1550 FRY ROAD
    HOUSTON, TX
    ZIP 77084
  • Facility Phone: 281 829-2565
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA WU
  • NPI Number: 1619086683
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071590
LAB Type Pharmacy
Facility Name HEB PHARMACY 492, LP
Street 1550 FRY ROAD
City HOUSTON
State TX
ZIP 77084
Phone 281 829-2565
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 ANGELA WU

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