45D1072193 CLIA NUMBER - HEB PHARMACY #265

Laboratory Demographics

  • CLIA Code: 45D1072193
  • Facility Name: HEB PHARMACY #265
  • Facility Address: 170 EAST WHITE STONE
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: (512) 259-5755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX RANCIER
  • NPI Number: 1508975590
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072193
LAB Type Pharmacy
Facility Name HEB PHARMACY #265
Street 170 EAST WHITE STONE
City CEDAR PARK
State TX
ZIP 78613
Phone 5122595755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director ALEX RANCIER

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