45D1072227 CLIA NUMBER - HEB PHARMACY #487

Laboratory Demographics

  • CLIA Code: 45D1072227
  • Facility Name: HEB PHARMACY #487
  • Facility Address: 4500 WILLIAMS DR
    GEORGETOWN, TX
    ZIP 78628
  • Facility Phone: 512 868-1273
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIK SORENSEN
  • NPI Number: 1467561886
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1072227
LAB Type Pharmacy
Facility Name HEB PHARMACY #487
Street 4500 WILLIAMS DR
City GEORGETOWN
State TX
ZIP 78628
Phone 512 868-1273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director ERIK SORENSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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