45D1072313 CLIA NUMBER - HEB PHARMACY #544

Laboratory Demographics

  • CLIA Code: 45D1072313
  • Facility Name: HEB PHARMACY #544
  • Facility Address: 725 E VILLA MARIA STE 1300
    BRYAN, TX
    ZIP 77802
  • Facility Phone: 979 822-1850
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CODY KIBBEE
  • NPI Number: 1780793109
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072313
LAB Type Pharmacy
Facility Name HEB PHARMACY #544
Street 725 E VILLA MARIA STE 1300
City BRYAN
State TX
ZIP 77802
Phone 979 822-1850
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 CODY KIBBEE

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