45D1072731 CLIA NUMBER - HEB PHARMACY #223

Laboratory Demographics

  • CLIA Code: 45D1072731
  • Facility Name: HEB PHARMACY #223
  • Facility Address: 1115 E MAIN
    ALICE, TX
    ZIP 78332
  • Facility Phone: 210 938-2223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEN OVALLE
  • NPI Number: 1699884031
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072731
LAB Type Pharmacy
Facility Name HEB PHARMACY #223
Street 1115 E MAIN
City ALICE
State TX
ZIP 78332
Phone 210 938-2223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director BEN OVALLE

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