45D1081917 CLIA NUMBER - HEB PHARMACY #419

Laboratory Demographics

  • CLIA Code: 45D1081917
  • Facility Name: HEB PHARMACY #419
  • Facility Address: 2135 E MAIN STREET
    EAGLE PASS, TX
    ZIP 78852
  • Facility Phone: 830 773-0420
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONICA VELA
  • NPI Number: 1639288079
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1081917
LAB Type Pharmacy
Facility Name HEB PHARMACY #419
Street 2135 E MAIN STREET
City EAGLE PASS
State TX
ZIP 78852
Phone 830 773-0420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director MONICA VELA

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