45D1082114 CLIA NUMBER - HEB PHARMACY #013

Laboratory Demographics

  • CLIA Code: 45D1082114
  • Facility Name: HEB PHARMACY #013
  • Facility Address: 4031 E HWY 83
    RIO GRANDE CITY, TX
    ZIP 78582
  • Facility Phone: 210 938-2013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SERGIO GARCIA
  • NPI Number: 1184733529
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1082114
LAB Type Pharmacy
Facility Name HEB PHARMACY #013
Street 4031 E HWY 83
City RIO GRANDE CITY
State TX
ZIP 78582
Phone 210 938-2013
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 SERGIO GARCIA

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