45D1071631 CLIA NUMBER - HEB PHARMACY 622

Laboratory Demographics

  • CLIA Code: 45D1071631
  • Facility Name: HEB PHARMACY 622
  • Facility Address: 20725 HWY 46 WEST
    SPRING BRANCH, TX
    ZIP 78070
  • Facility Phone: 830 438-4010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARYL J. JANICEK
  • NPI Number: 1841309267
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071631
LAB Type Pharmacy
Facility Name HEB PHARMACY 622
Street 20725 HWY 46 WEST
City SPRING BRANCH
State TX
ZIP 78070
Phone 830 438-4010
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 DARYL J. JANICEK

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