45D2095010 CLIA NUMBER - HEB PHARMACY #707

Laboratory Demographics

  • CLIA Code: 45D2095010
  • Facility Name: HEB PHARMACY #707
  • Facility Address: 97 OYSTER CREEK DR
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 281 863-5004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEE WILLIAMS
  • NPI Number: 1306243035
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2095010
LAB Type Pharmacy
Facility Name HEB PHARMACY #707
Street 97 OYSTER CREEK DR
City LAKE JACKSON
State TX
ZIP 77566
Phone 281 863-5004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director ASHLEE WILLIAMS

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