45D1072064 CLIA NUMBER - HEB PHARMACY #561

Laboratory Demographics

  • CLIA Code: 45D1072064
  • Facility Name: HEB PHARMACY #561
  • Facility Address: 407 SOUTH ADAMS
    FREDERICKSBURG, TX
    ZIP 78624
  • Facility Phone: 830 997-8809
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER ZENNER
  • NPI Number: 1700995123
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072064
LAB Type Pharmacy
Facility Name HEB PHARMACY #561
Street 407 SOUTH ADAMS
City FREDERICKSBURG
State TX
ZIP 78624
Phone 830 997-8809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Pharmacy
Lab Director AMBER ZENNER

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