45D1074725 CLIA NUMBER - HEB PHARMACY #294

Laboratory Demographics

  • CLIA Code: 45D1074725
  • Facility Name: HEB PHARMACY #294
  • Facility Address: 6580 FM 78
    SAN ANTONIO, TX
    ZIP 78244
  • Facility Phone: 210 938-2294
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLAS RANGEL
  • NPI Number: 1386753721
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1074725
LAB Type Pharmacy
Facility Name HEB PHARMACY #294
Street 6580 FM 78
City SAN ANTONIO
State TX
ZIP 78244
Phone 210 938-2294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Pharmacy
Lab Director NICOLAS RANGEL

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