45D1071623 CLIA NUMBER - HEB PHARMACY # 427

Laboratory Demographics

  • CLIA Code: 45D1071623
  • Facility Name: HEB PHARMACY # 427
  • Facility Address: 735 SW MILITARY DRIVE
    SAN ANTONIO, TX
    ZIP 78221
  • Facility Phone: 210 938-2427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JODIE BARTOSH
  • NPI Number: 1649389073
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071623
LAB Type Pharmacy
Facility Name HEB PHARMACY # 427
Street 735 SW MILITARY DRIVE
City SAN ANTONIO
State TX
ZIP 78221
Phone 210 938-2427
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 JODIE BARTOSH

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