45D1072150 CLIA NUMBER - HEB PHARMACY #038

Laboratory Demographics

  • CLIA Code: 45D1072150
  • Facility Name: HEB PHARMACY #038
  • Facility Address: 901 W EXPRESSWAY 83
    SAN JUAN, TX
    ZIP 78589
  • Facility Phone: (956) 783-1275
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSE MALACARA
  • NPI Number: 1225147655
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072150
LAB Type Pharmacy
Facility Name HEB PHARMACY #038
Street 901 W EXPRESSWAY 83
City SAN JUAN
State TX
ZIP 78589
Phone 9567831275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Pharmacy
Lab Director JOSE MALACARA

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This page was last updated on: 5/18/2026