45D1071609 CLIA NUMBER - HEB PHARMACY # 596

Laboratory Demographics

CLIA Number: 45D1071609

Facility Name: HEB PHARMACY # 596

Facility Address:
6711 S FRY ROAD
KATY, TX
ZIP 77494
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Facility Phone Number: 281 392-3015

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073613394

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