45D1082093 CLIA NUMBER - HEB PHARMACY 263

Laboratory Demographics

  • CLIA Code: 45D1082093
  • Facility Name: HEB PHARMACY 263
  • Facility Address: 1628 CENTRAL BLVD
    BROWNSVILLE, TX
    ZIP 78526
  • Facility Phone: 210 938-8915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM RIEZENMAN
  • NPI Number: 1306955380
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1082093
LAB Type Pharmacy
Facility Name HEB PHARMACY 263
Street 1628 CENTRAL BLVD
City BROWNSVILLE
State TX
ZIP 78526
Phone 210 938-8915
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 ADAM RIEZENMAN

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