45D1082089 CLIA NUMBER - HEB PHARMACY #172

Laboratory Demographics

  • CLIA Code: 45D1082089
  • Facility Name: HEB PHARMACY #172
  • Facility Address: 1212 S CLOSNER
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 380-6219
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIO SOLIS
  • NPI Number: 1508975921
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1082089
LAB Type Pharmacy
Facility Name HEB PHARMACY #172
Street 1212 S CLOSNER
City EDINBURG
State TX
ZIP 78539
Phone 956 380-6219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Pharmacy
Lab Director MARIO SOLIS

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