45D2074869 CLIA NUMBER - HEB PHARMACY #693

Laboratory Demographics

  • CLIA Code: 45D2074869
  • Facility Name: HEB PHARMACY #693
  • Facility Address: 107 N SUNSET STRIP
    KENEDY, TX
    ZIP 78119
  • Facility Phone: 830 583-9155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANICE JARZOMBEK
  • NPI Number: 1881014314
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2074869
LAB Type Pharmacy
Facility Name HEB PHARMACY #693
Street 107 N SUNSET STRIP
City KENEDY
State TX
ZIP 78119
Phone 830 583-9155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Pharmacy
Lab Director JANICE JARZOMBEK

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