45D1075193 CLIA NUMBER - HEB PHARMACY # 467

Laboratory Demographics

  • CLIA Code: 45D1075193
  • Facility Name: HEB PHARMACY # 467
  • Facility Address: 701 E MILAM STREET
    MEXIA, TX
    ZIP 76667
  • Facility Phone: 254 562-5123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY E. CASTATOR
  • NPI Number: 1497864813
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1075193
LAB Type Pharmacy
Facility Name HEB PHARMACY # 467
Street 701 E MILAM STREET
City MEXIA
State TX
ZIP 76667
Phone 254 562-5123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Pharmacy
Lab Director GREGORY E. CASTATOR

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