45D1071836 CLIA NUMBER - HEB PHARMACY # 024 LP

Laboratory Demographics

  • CLIA Code: 45D1071836
  • Facility Name: HEB PHARMACY # 024 LP
  • Facility Address: 11521 NORTH FM 620 BLDG A
    AUSTIN, TX
    ZIP 78726
  • Facility Phone: 512 249-0577
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSANDRA CANO
  • NPI Number: 1043329469
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071836
LAB Type Pharmacy
Facility Name HEB PHARMACY # 024 LP
Street 11521 NORTH FM 620 BLDG A
City AUSTIN
State TX
ZIP 78726
Phone 512 249-0577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director CASSANDRA CANO

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