45D2056789 CLIA NUMBER - HEB PHARMACY #660

Laboratory Demographics

  • CLIA Code: 45D2056789
  • Facility Name: HEB PHARMACY #660
  • Facility Address: 3875 W DAVIS ST
    CONROE, TX
    ZIP 77304
  • Facility Phone: 210 938-8915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL J. SAHAGIAN
  • NPI Number: 1316288426
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2056789
LAB Type Pharmacy
Facility Name HEB PHARMACY #660
Street 3875 W DAVIS ST
City CONROE
State TX
ZIP 77304
Phone 210 938-8915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director PAUL J. SAHAGIAN

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