45D1072161 CLIA NUMBER - HEB PHARMACY #765

Laboratory Demographics

  • CLIA Code: 45D1072161
  • Facility Name: HEB PHARMACY #765
  • Facility Address: 7901 EAST HIGHWAY 290
    AUSTIN, TX
    ZIP 78703
  • Facility Phone: 210 938-2756
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KACIE BLACK
  • NPI Number: 1457083248
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072161
LAB Type Pharmacy
Facility Name HEB PHARMACY #765
Street 7901 EAST HIGHWAY 290
City AUSTIN
State TX
ZIP 78703
Phone 210 938-2756
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 KACIE BLACK

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