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45D1072732 CLIA NUMBER - HEB PHARMACY #253

Laboratory Demographics

CLIA Number: 45D1072732

Facility Name: HEB PHARMACY #253

Facility Address:
3500 LEOPARD STREET
CORPUS CHRISTI, TX
ZIP 78408
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Facility Phone Number: 361 883-7196

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1770692113

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 45D1072732
LAB Type Pharmacy
Facility Name HEB PHARMACY #253
Street 3500 LEOPARD STREET
City CORPUS CHRISTI
State TX
ZIP 78408
Phone 361 883-7196
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