45D1072211 CLIA NUMBER - HEB PHARMACY # 425

Laboratory Demographics

  • CLIA Code: 45D1072211
  • Facility Name: HEB PHARMACY # 425
  • Facility Address: 1000 E 41ST STREET
    AUSTIN, TX
    ZIP 78751
  • Facility Phone: 512 459-8308
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON WOODWARD
  • NPI Number: 1073622411
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072211
LAB Type Pharmacy
Facility Name HEB PHARMACY # 425
Street 1000 E 41ST STREET
City AUSTIN
State TX
ZIP 78751
Phone 512 459-8308
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 BRANDON WOODWARD

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