45D1071599 CLIA NUMBER - HEB PHARMACY #574

Laboratory Demographics

CLIA Number: 45D1071599

Facility Name: HEB PHARMACY #574

Facility Address:
28520 TOMBALL PKWY
TOMBALL, TX
ZIP 77375
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Facility Phone Number: 281 351-1972

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316056740

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D1071599
LAB Type Pharmacy
Facility Name HEB PHARMACY #574
Street 28520 TOMBALL PKWY
City TOMBALL
State TX
ZIP 77375
Phone 281 351-1972
CertificateType 4
CertificateEffectiveDate 7/30/2023
CertificateExpirationDate 7/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024