45D1071637 CLIA NUMBER - HEB PHARMACY 566 LP

Laboratory Demographics

  • CLIA Code: 45D1071637
  • Facility Name: HEB PHARMACY 566 LP
  • Facility Address: 24165 IH 10 SUITE 300
    SAN ANTONIO, TX
    ZIP 78257
  • Facility Phone: 210 687-1072
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY L. BROCK
  • NPI Number: 1083723407
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071637
LAB Type Pharmacy
Facility Name HEB PHARMACY 566 LP
Street 24165 IH 10 SUITE 300
City SAN ANTONIO
State TX
ZIP 78257
Phone 210 687-1072
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 MARY L. BROCK

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