45D1071863 CLIA NUMBER - HEB PHARMACY #218 LP

Laboratory Demographics

  • CLIA Code: 45D1071863
  • Facility Name: HEB PHARMACY #218 LP
  • Facility Address: 12407 N MOPAC EXPRESSWAY
    AUSTIN, TX
    ZIP 78758
  • Facility Phone: 512 339-6644
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. GAINES
  • NPI Number: 1336258771
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1071863
LAB Type Pharmacy
Facility Name HEB PHARMACY #218 LP
Street 12407 N MOPAC EXPRESSWAY
City AUSTIN
State TX
ZIP 78758
Phone 512 339-6644
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 MICHAEL L. GAINES

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