45D1072163 CLIA NUMBER - HEB PHARMACY #236

Laboratory Demographics

  • CLIA Code: 45D1072163
  • Facility Name: HEB PHARMACY #236
  • Facility Address: 1434 WELLS BRANCH PKWY
    PFLUGERVILLE, TX
    ZIP 78660
  • Facility Phone: 512 251-5286
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEEETI GYAWATI
  • NPI Number: 1396854717
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072163
LAB Type Pharmacy
Facility Name HEB PHARMACY #236
Street 1434 WELLS BRANCH PKWY
City PFLUGERVILLE
State TX
ZIP 78660
Phone 512 251-5286
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 NEEETI GYAWATI

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