45D1072095 CLIA NUMBER - HEB PHARMACY #583, LP

Laboratory Demographics

  • CLIA Code: 45D1072095
  • Facility Name: HEB PHARMACY #583, LP
  • Facility Address: 9100 WOODWAY DRIVE
    WOODWAY, TX
    ZIP 76712
  • Facility Phone: 254 751-0912
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA VERNON
  • NPI Number: 1356656383
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072095
LAB Type Pharmacy
Facility Name HEB PHARMACY #583, LP
Street 9100 WOODWAY DRIVE
City WOODWAY
State TX
ZIP 76712
Phone 254 751-0912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2023
Certificate Expiration Date 8/7/2025
Facility Type Pharmacy
Lab Director REBECCA VERNON

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This page was last updated on: 3/20/2025