45D1072761 CLIA NUMBER - HEB PHARMACY #554

Laboratory Demographics

  • CLIA Code: 45D1072761
  • Facility Name: HEB PHARMACY #554
  • Facility Address: 1505 E RIO GRANDE
    VICTORIA, TX
    ZIP 77901
  • Facility Phone: 210 938-2554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN ELIFF
  • NPI Number: 1811006232
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1072761
LAB Type Pharmacy
Facility Name HEB PHARMACY #554
Street 1505 E RIO GRANDE
City VICTORIA
State TX
ZIP 77901
Phone 210 938-2554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2023
Certificate Expiration Date 8/22/2025
Facility Type Pharmacy
Lab Director ERIN ELIFF

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This page was last updated on: 3/20/2025