45D1071632 CLIA NUMBER - HEB PHARMACY #494

Laboratory Demographics

  • CLIA Code: 45D1071632
  • Facility Name: HEB PHARMACY #494
  • Facility Address: 10660 FM 471 W
    SAN ANTONIO, TX
    ZIP 78251
  • Facility Phone: 210 938-2494
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY MIKULAS
  • NPI Number: 1265510036
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071632
LAB Type Pharmacy
Facility Name HEB PHARMACY #494
Street 10660 FM 471 W
City SAN ANTONIO
State TX
ZIP 78251
Phone 210 938-2494
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 EMILY MIKULAS

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