45D1072750 CLIA NUMBER - HEB PHARMACY 424

Laboratory Demographics

  • CLIA Code: 45D1072750
  • Facility Name: HEB PHARMACY 424
  • Facility Address: 609 19TH STREET
    HONDO, TX
    ZIP 78861
  • Facility Phone: 210 938-2424
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL GONZALEZ
  • NPI Number: 1417066820
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072750
LAB Type Pharmacy
Facility Name HEB PHARMACY 424
Street 609 19TH STREET
City HONDO
State TX
ZIP 78861
Phone 210 938-2424
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 MICHAEL GONZALEZ

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