45D1072209 CLIA NUMBER - HEB PHARMACY #404

Laboratory Demographics

  • CLIA Code: 45D1072209
  • Facility Name: HEB PHARMACY #404
  • Facility Address: 12400 STATE HWY 71 WEST
    BEE CAVE, TX
    ZIP 78738
  • Facility Phone: 512 263-0561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GENEVIEVE PETERSON
  • NPI Number: 1780793190
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072209
LAB Type Pharmacy
Facility Name HEB PHARMACY #404
Street 12400 STATE HWY 71 WEST
City BEE CAVE
State TX
ZIP 78738
Phone 512 263-0561
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 GENEVIEVE PETERSON

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