45D1072277 CLIA NUMBER - HEB PHARMACY #668

Laboratory Demographics

  • CLIA Code: 45D1072277
  • Facility Name: HEB PHARMACY #668
  • Facility Address: 2990 E HWY 190
    COPPERAS COVE, TX
    ZIP 76522
  • Facility Phone: 254 547-9755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA PAGEL
  • NPI Number: 1992814347
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072277
LAB Type Pharmacy
Facility Name HEB PHARMACY #668
Street 2990 E HWY 190
City COPPERAS COVE
State TX
ZIP 76522
Phone 254 547-9755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2023
Certificate Expiration Date 8/12/2025
Facility Type Pharmacy
Lab Director ANNA PAGEL

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This page was last updated on: 3/20/2025