45D1071630 CLIA NUMBER - HEB PHARMACY 463

Laboratory Demographics

  • CLIA Code: 45D1071630
  • Facility Name: HEB PHARMACY 463
  • Facility Address: 1150 NORTH FM 1604
    SAN ANTONIO, TX
    ZIP 78248
  • Facility Phone: (210) 938-8915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN URBY
  • NPI Number: 1215046636
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071630
LAB Type Pharmacy
Facility Name HEB PHARMACY 463
Street 1150 NORTH FM 1604
City SAN ANTONIO
State TX
ZIP 78248
Phone 2109388915
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 JUSTIN URBY

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This page was last updated on: 5/18/2026