45D1072738 CLIA NUMBER - HEB PHARMACY #401

Laboratory Demographics

  • CLIA Code: 45D1072738
  • Facility Name: HEB PHARMACY #401
  • Facility Address: 409 EAST KLEBERG
    KINGSVILLE, TX
    ZIP 78363
  • Facility Phone: 210 938-2401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA DAVILA
  • NPI Number: 1720197155
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072738
LAB Type Pharmacy
Facility Name HEB PHARMACY #401
Street 409 EAST KLEBERG
City KINGSVILLE
State TX
ZIP 78363
Phone 210 938-2401
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 ALYSSA DAVILA

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