45D1071607 CLIA NUMBER - HEB PHARMACY #589

Laboratory Demographics

  • CLIA Code: 45D1071607
  • Facility Name: HEB PHARMACY #589
  • Facility Address: 4800 B HWY 365
    PORT ARTHUR, TX
    ZIP 77642
  • Facility Phone: 210 938-2589
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LANH TRAN
  • NPI Number: 1063521490
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1071607
LAB Type Pharmacy
Facility Name HEB PHARMACY #589
Street 4800 B HWY 365
City PORT ARTHUR
State TX
ZIP 77642
Phone 210 938-2589
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 LANH TRAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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