45D1071595 CLIA NUMBER - HEB PHARMACY 543

Laboratory Demographics

  • CLIA Code: 45D1071595
  • Facility Name: HEB PHARMACY 543
  • Facility Address: 1900 TEXAS AVE SOUTH
    COLLEGE STATION, TX
    ZIP 77840
  • Facility Phone: 979 693-1238
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH PROCHASKA
  • NPI Number: 1992814313
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071595
LAB Type Pharmacy
Facility Name HEB PHARMACY 543
Street 1900 TEXAS AVE SOUTH
City COLLEGE STATION
State TX
ZIP 77840
Phone 979 693-1238
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 ELIZABETH PROCHASKA

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