45D2011021 CLIA NUMBER - HEB PHARMACY #619

Laboratory Demographics

  • CLIA Code: 45D2011021
  • Facility Name: HEB PHARMACY #619
  • Facility Address: 949 WILLIAM D FITCH PKWY
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 979 690-4690
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANE LECHLER
  • NPI Number: 1831402577
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2011021
LAB Type Pharmacy
Facility Name HEB PHARMACY #619
Street 949 WILLIAM D FITCH PKWY
City COLLEGE STATION
State TX
ZIP 77845
Phone 979 690-4690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director SHANE LECHLER

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