45D1072274 CLIA NUMBER - HEB PHARMACY #403

Laboratory Demographics

  • CLIA Code: 45D1072274
  • Facility Name: HEB PHARMACY #403
  • Facility Address: 1207 MAIN STREET
    GATESVILLE, TX
    ZIP 76528
  • Facility Phone: 210 938-2403
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE COLLINS
  • NPI Number: 1437268885
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072274
LAB Type Pharmacy
Facility Name HEB PHARMACY #403
Street 1207 MAIN STREET
City GATESVILLE
State TX
ZIP 76528
Phone 210 938-2403
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 JULIE COLLINS

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