45D1072062 CLIA NUMBER - HEB PHARMACY #387 LP

Laboratory Demographics

  • CLIA Code: 45D1072062
  • Facility Name: HEB PHARMACY #387 LP
  • Facility Address: 3801 EAST 42ND STREET
    ODESSA, TX
    ZIP 79762
  • Facility Phone: 432 362-4555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN POOL
  • NPI Number: 1619086063
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072062
LAB Type Pharmacy
Facility Name HEB PHARMACY #387 LP
Street 3801 EAST 42ND STREET
City ODESSA
State TX
ZIP 79762
Phone 432 362-4555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Pharmacy
Lab Director DUSTIN POOL

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