45D1072158 CLIA NUMBER - HEB PHARMACY # 642

Laboratory Demographics

  • CLIA Code: 45D1072158
  • Facility Name: HEB PHARMACY # 642
  • Facility Address: 1300 SOUTH CAGE BLVD
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 781-6626
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARLA MORENO
  • NPI Number: 1255440681
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072158
LAB Type Pharmacy
Facility Name HEB PHARMACY # 642
Street 1300 SOUTH CAGE BLVD
City PHARR
State TX
ZIP 78577
Phone 956 781-6626
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 KARLA MORENO

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