45D1071640 CLIA NUMBER - HEB PHARMACY #108

Laboratory Demographics

  • CLIA Code: 45D1071640
  • Facility Name: HEB PHARMACY #108
  • Facility Address: 20935 US HWY 281 NORTH
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 938-2108
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLS MENDOZA
  • NPI Number: 1265541684
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071640
LAB Type Pharmacy
Facility Name HEB PHARMACY #108
Street 20935 US HWY 281 NORTH
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 938-2108
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 CAROLS MENDOZA

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