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45D2103828 CLIA NUMBER - HEB PHARMACY #715

Laboratory Demographics

CLIA Number: 45D2103828

Facility Name: HEB PHARMACY #715

Facility Address:
4701 EAST BLVD
DEER PARK, TX
ZIP 77536
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Facility Phone Number: 281 930-9366

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1194103739

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D2103828
LAB Type Pharmacy
Facility Name HEB PHARMACY #715
Street 4701 EAST BLVD
City DEER PARK
State TX
ZIP 77536
Phone 281 930-9366
CertificateType 4
CertificateEffectiveDate 10/21/2023
CertificateExpirationDate 10/20/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024