45D2067031 CLIA NUMBER - HEB PHARMACY # 677

Laboratory Demographics

  • CLIA Code: 45D2067031
  • Facility Name: HEB PHARMACY # 677
  • Facility Address: 512 E EDINBURG AVE
    ELSA, TX
    ZIP 78543
  • Facility Phone: 956 262-9719
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OMAR PALACIOS
  • NPI Number: 1497197693
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2067031
LAB Type Pharmacy
Facility Name HEB PHARMACY # 677
Street 512 E EDINBURG AVE
City ELSA
State TX
ZIP 78543
Phone 956 262-9719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Pharmacy
Lab Director OMAR PALACIOS

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