45D1071609 CLIA NUMBER - HEB PHARMACY # 596

Laboratory Demographics

  • CLIA Code: 45D1071609
  • Facility Name: HEB PHARMACY # 596
  • Facility Address: 6711 S FRY ROAD
    KATY, TX
    ZIP 77494
  • Facility Phone: 281 392-3015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN CLOSNER
  • NPI Number: 1073613394
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071609
LAB Type Pharmacy
Facility Name HEB PHARMACY # 596
Street 6711 S FRY ROAD
City KATY
State TX
ZIP 77494
Phone 281 392-3015
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 KEVIN CLOSNER

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