45D2021298 CLIA NUMBER - HEB PHARMACY 620

Laboratory Demographics

  • CLIA Code: 45D2021298
  • Facility Name: HEB PHARMACY 620
  • Facility Address: 225 SOUTH IH 35
    PEARSALL, TX
    ZIP 78061
  • Facility Phone: 830 334-3237
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACIE LAWLER
  • NPI Number: 1588961510
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2021298
LAB Type Pharmacy
Facility Name HEB PHARMACY 620
Street 225 SOUTH IH 35
City PEARSALL
State TX
ZIP 78061
Phone 830 334-3237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director TRACIE LAWLER

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