45D2010438 CLIA NUMBER - HEB PHARMACY #614

Laboratory Demographics

  • CLIA Code: 45D2010438
  • Facility Name: HEB PHARMACY #614
  • Facility Address: 12680 W LAKE HOUSTON PARKWAY
    HOUSTON, TX
    ZIP 77044
  • Facility Phone: 210 938-2614
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUSTIN DOBBS
  • NPI Number: 1174836886
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2010438
LAB Type Pharmacy
Facility Name HEB PHARMACY #614
Street 12680 W LAKE HOUSTON PARKWAY
City HOUSTON
State TX
ZIP 77044
Phone 210 938-2614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Pharmacy
Lab Director AUSTIN DOBBS

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