45D1071853 CLIA NUMBER - HEB PHARMACY CORP # 96

Laboratory Demographics

  • CLIA Code: 45D1071853
  • Facility Name: HEB PHARMACY CORP # 96
  • Facility Address: 7025 VILLAGE CENTER DRIVE
    AUSTIN, TX
    ZIP 78731
  • Facility Phone: 512 502-8801
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER HALL
  • NPI Number: 1174632517
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071853
LAB Type Pharmacy
Facility Name HEB PHARMACY CORP # 96
Street 7025 VILLAGE CENTER DRIVE
City AUSTIN
State TX
ZIP 78731
Phone 512 502-8801
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 TYLER HALL

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