45D1072693 CLIA NUMBER - HEB PHARMACY #643

Laboratory Demographics

  • CLIA Code: 45D1072693
  • Facility Name: HEB PHARMACY #643
  • Facility Address: 4444 KOSTORYZ
    CORPUS CHRISTI, TX
    ZIP 78415
  • Facility Phone: 210 938-2643
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAY RAMIREZ
  • NPI Number: 1912020025
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072693
LAB Type Pharmacy
Facility Name HEB PHARMACY #643
Street 4444 KOSTORYZ
City CORPUS CHRISTI
State TX
ZIP 78415
Phone 210 938-2643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Pharmacy
Lab Director RAY RAMIREZ

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