45D1071634 CLIA NUMBER - HEB PHARMACY 555 LP

Laboratory Demographics

  • CLIA Code: 45D1071634
  • Facility Name: HEB PHARMACY 555 LP
  • Facility Address: 910 KITTY HAWK
    UNIVERSAL CITY, TX
    ZIP 78148
  • Facility Phone: (210) 945-2120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY TRAN
  • NPI Number: 1609985035
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071634
LAB Type Pharmacy
Facility Name HEB PHARMACY 555 LP
Street 910 KITTY HAWK
City UNIVERSAL CITY
State TX
ZIP 78148
Phone 2109452120
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 TIMOTHY TRAN

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