45D1071605 CLIA NUMBER - HEB PHARMACY #579

Laboratory Demographics

  • CLIA Code: 45D1071605
  • Facility Name: HEB PHARMACY #579
  • Facility Address: 9595 SIX PINES ROAD
    THE WOODLANDS, TX
    ZIP 77380
  • Facility Phone: 281 292-3962
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEITH WONG
  • NPI Number: 1972612398
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071605
LAB Type Pharmacy
Facility Name HEB PHARMACY #579
Street 9595 SIX PINES ROAD
City THE WOODLANDS
State TX
ZIP 77380
Phone 281 292-3962
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 KEITH WONG

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