45D1072164 CLIA NUMBER - HEB PHARMACY #237

Laboratory Demographics

CLIA Number: 45D1072164

Facility Name: HEB PHARMACY #237

Facility Address:
1101 S IH 35
GEORGETOWN, TX
ZIP 78626
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Facility Phone Number: 512 869-4287

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1679682017

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D1072164
LAB Type Pharmacy
Facility Name HEB PHARMACY #237
Street 1101 S IH 35
City GEORGETOWN
State TX
ZIP 78626
Phone 512 869-4287
CertificateType 4
CertificateEffectiveDate 8/9/2023
CertificateExpirationDate 8/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024