45D2096962 CLIA NUMBER - HEB PHARMACY #711

Laboratory Demographics

  • CLIA Code: 45D2096962
  • Facility Name: HEB PHARMACY #711
  • Facility Address: 2501 UNIVERSITY
    ODESSA, TX
    ZIP 79764
  • Facility Phone: 432 362-4555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MYRA Y. SMEDLEY
  • NPI Number: 1962897405
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2096962
LAB Type Pharmacy
Facility Name HEB PHARMACY #711
Street 2501 UNIVERSITY
City ODESSA
State TX
ZIP 79764
Phone 432 362-4555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director MYRA Y. SMEDLEY

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