45D1083326 CLIA NUMBER - HEB PHARMACY #229

Laboratory Demographics

  • CLIA Code: 45D1083326
  • Facility Name: HEB PHARMACY #229
  • Facility Address: 6607 S IH 35
    AUSTIN, TX
    ZIP 78744
  • Facility Phone: 512 441-3692
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAVIER FUENTES
  • NPI Number: 1114036548
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1083326
LAB Type Pharmacy
Facility Name HEB PHARMACY #229
Street 6607 S IH 35
City AUSTIN
State TX
ZIP 78744
Phone 512 441-3692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Pharmacy
Lab Director JAVIER FUENTES

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This page was last updated on: 6/4/2025