45D2010707 CLIA NUMBER - HEB PHARMACY #16

Laboratory Demographics

  • CLIA Code: 45D2010707
  • Facility Name: HEB PHARMACY #16
  • Facility Address: 165 NW JOHN JONES DR
    BURLESON, TX
    ZIP 76028
  • Facility Phone: 210 938-2016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN BLACKWELL
  • NPI Number: 1417277260
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2010707
LAB Type Pharmacy
Facility Name HEB PHARMACY #16
Street 165 NW JOHN JONES DR
City BURLESON
State TX
ZIP 76028
Phone 210 938-2016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Pharmacy
Lab Director ERIN BLACKWELL

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