45D2103392 CLIA NUMBER - HEB PHARMACY # 200

Laboratory Demographics

  • CLIA Code: 45D2103392
  • Facility Name: HEB PHARMACY # 200
  • Facility Address: 800 S SAINT MARY'S
    FALFURRIAS, TX
    ZIP 78355
  • Facility Phone: 361 325-2910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIDZA GONZALEZ
  • NPI Number: 1982083341
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2103392
LAB Type Pharmacy
Facility Name HEB PHARMACY # 200
Street 800 S SAINT MARY'S
City FALFURRIAS
State TX
ZIP 78355
Phone 361 325-2910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Pharmacy
Lab Director MARIDZA GONZALEZ

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