45D1074598 CLIA NUMBER - HEB PHARMACY NO 582 LP

Laboratory Demographics

  • CLIA Code: 45D1074598
  • Facility Name: HEB PHARMACY NO 582 LP
  • Facility Address: 104 HASLER BLVD
    BASTROP, TX
    ZIP 78602
  • Facility Phone: 512 321-1033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. LOWE
  • NPI Number: 1427167857
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1074598
LAB Type Pharmacy
Facility Name HEB PHARMACY NO 582 LP
Street 104 HASLER BLVD
City BASTROP
State TX
ZIP 78602
Phone 512 321-1033
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 CHRISTOPHER J. LOWE

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