45D1094730 CLIA NUMBER - HEB PHARMACY #110

Laboratory Demographics

  • CLIA Code: 45D1094730
  • Facility Name: HEB PHARMACY #110
  • Facility Address: 8900 HWY 6
    MISSOURI CITY, TX
    ZIP 77459
  • Facility Phone: 281 778-1350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT MORA
  • NPI Number: 1194834515
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1094730
LAB Type Pharmacy
Facility Name HEB PHARMACY #110
Street 8900 HWY 6
City MISSOURI CITY
State TX
ZIP 77459
Phone 281 778-1350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director ROBERT MORA

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