45D1072206 CLIA NUMBER - HEB PHARMACY #659

Laboratory Demographics

  • CLIA Code: 45D1072206
  • Facility Name: HEB PHARMACY #659
  • Facility Address: 14028 NORTH US 183
    AUSTIN, TX
    ZIP 78717
  • Facility Phone: 512 249-9886
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINA ORNELAS
  • NPI Number: 1629187059
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072206
LAB Type Pharmacy
Facility Name HEB PHARMACY #659
Street 14028 NORTH US 183
City AUSTIN
State TX
ZIP 78717
Phone 512 249-9886
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 CAROLINA ORNELAS

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