45D1082091 CLIA NUMBER - HEB PHARMACY 475

Laboratory Demographics

  • CLIA Code: 45D1082091
  • Facility Name: HEB PHARMACY 475
  • Facility Address: 1080 E HWY 290
    ELGIN, TX
    ZIP 78621
  • Facility Phone: 512 285-4719
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIKAELA DEBARBA
  • NPI Number: 1821107244
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1082091
LAB Type Pharmacy
Facility Name HEB PHARMACY 475
Street 1080 E HWY 290
City ELGIN
State TX
ZIP 78621
Phone 512 285-4719
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 MIKAELA DEBARBA

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