45D1072271 CLIA NUMBER - HEB PHARMACY #423

Laboratory Demographics

  • CLIA Code: 45D1072271
  • Facility Name: HEB PHARMACY #423
  • Facility Address: 1301 WOODED ACRES
    WACO, TX
    ZIP 76710
  • Facility Phone: 254 776-1027
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SIERRA KELLER
  • NPI Number: 1598201220
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072271
LAB Type Pharmacy
Facility Name HEB PHARMACY #423
Street 1301 WOODED ACRES
City WACO
State TX
ZIP 76710
Phone 254 776-1027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Pharmacy
Lab Director SIERRA KELLER

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