45D1091194 CLIA NUMBER - HEB PHARMACY #243

Laboratory Demographics

  • CLIA Code: 45D1091194
  • Facility Name: HEB PHARMACY #243
  • Facility Address: 641 E HOPKINS
    SAN MARCOS, TX
    ZIP 78666
  • Facility Phone: 210 396-2892
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN SHAW
  • NPI Number: 1326157397
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1091194
LAB Type Pharmacy
Facility Name HEB PHARMACY #243
Street 641 E HOPKINS
City SAN MARCOS
State TX
ZIP 78666
Phone 210 396-2892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Pharmacy
Lab Director RYAN SHAW

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This page was last updated on: 3/20/2025