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45D1072727 CLIA NUMBER - HEB PHARMACY #057 LP

Laboratory Demographics

CLIA Number: 45D1072727

Facility Name: HEB PHARMACY #057 LP

Facility Address:
1145 WALDRON RD
CORPUS CHRISTI, TX
ZIP 78418
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Facility Phone Number: 361 937-1497

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1356450787

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D1072727
LAB Type Pharmacy
Facility Name HEB PHARMACY #057 LP
Street 1145 WALDRON RD
City CORPUS CHRISTI
State TX
ZIP 78418
Phone 361 937-1497
CertificateType 4
CertificateEffectiveDate 8/23/2023
CertificateExpirationDate 8/22/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024