45D1074902 CLIA NUMBER - HEB PHARMACY NO 581

Laboratory Demographics

  • CLIA Code: 45D1074902
  • Facility Name: HEB PHARMACY NO 581
  • Facility Address: 2511 TRIMMIER ROAD SUITE 100
    KILLEEN, TX
    ZIP 76542
  • Facility Phone: 210 938-8915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONICA MCCUBBIN
  • NPI Number: 1245349679
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1074902
LAB Type Pharmacy
Facility Name HEB PHARMACY NO 581
Street 2511 TRIMMIER ROAD SUITE 100
City KILLEEN
State TX
ZIP 76542
Phone 210 938-8915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Pharmacy
Lab Director MONICA MCCUBBIN

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