45D1072739 CLIA NUMBER - HEB PHARMACY #412

Laboratory Demographics

  • CLIA Code: 45D1072739
  • Facility Name: HEB PHARMACY #412
  • Facility Address: 100 EAST HOUSTON STREET
    BEEVILLE, TX
    ZIP 78102
  • Facility Phone: 210 938-2412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID ESCOBEDO
  • NPI Number: 1023127446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072739
LAB Type Pharmacy
Facility Name HEB PHARMACY #412
Street 100 EAST HOUSTON STREET
City BEEVILLE
State TX
ZIP 78102
Phone 210 938-2412
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 DAVID ESCOBEDO

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