45D1071606 CLIA NUMBER - HEB PHARMACY #584

Laboratory Demographics

  • CLIA Code: 45D1071606
  • Facility Name: HEB PHARMACY #584
  • Facility Address: 306 N MECHANIC
    EL CAMPO, TX
    ZIP 77437
  • Facility Phone: 979 578-8609
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESHON DROMGOOLE
  • NPI Number: 1144339565
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071606
LAB Type Pharmacy
Facility Name HEB PHARMACY #584
Street 306 N MECHANIC
City EL CAMPO
State TX
ZIP 77437
Phone 979 578-8609
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 LESHON DROMGOOLE

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