45D1082080 CLIA NUMBER - HEB PHARMACY CORP 593

Laboratory Demographics

  • CLIA Code: 45D1082080
  • Facility Name: HEB PHARMACY CORP 593
  • Facility Address: 100 CARLOS G PARKER BLVD SUITE 101
    TAYLOR, TX
    ZIP 76574
  • Facility Phone: 512 352-2024
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICARDO LEVECK JR
  • NPI Number: 1710096151
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1082080
LAB Type Pharmacy
Facility Name HEB PHARMACY CORP 593
Street 100 CARLOS G PARKER BLVD SUITE 101
City TAYLOR
State TX
ZIP 76574
Phone 512 352-2024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Pharmacy
Lab Director RICARDO LEVECK JR

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