45D2103828 CLIA NUMBER - HEB PHARMACY #715

Laboratory Demographics

  • CLIA Code: 45D2103828
  • Facility Name: HEB PHARMACY #715
  • Facility Address: 4701 EAST BLVD
    DEER PARK, TX
    ZIP 77536
  • Facility Phone: 281 930-9366
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAD EWER
  • NPI Number: 1194103739
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Pharmacy
Lab Director CHAD EWER

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