45D1074596 CLIA NUMBER - HEB PHARMACY NO 382 LP

Laboratory Demographics

  • CLIA Code: 45D1074596
  • Facility Name: HEB PHARMACY NO 382 LP
  • Facility Address: 3325 WADLEY
    MIDLAND, TX
    ZIP 79707
  • Facility Phone: 432 697-1484
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALICIA COOKSEY
  • NPI Number: 1700995156
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1074596
LAB Type Pharmacy
Facility Name HEB PHARMACY NO 382 LP
Street 3325 WADLEY
City MIDLAND
State TX
ZIP 79707
Phone 432 697-1484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Pharmacy
Lab Director ALICIA COOKSEY

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