45D2130487 CLIA NUMBER - HEB PHARMACY # 721

Laboratory Demographics

  • CLIA Code: 45D2130487
  • Facility Name: HEB PHARMACY # 721
  • Facility Address: 1101 W STAN SCHLEUTER LP
    KILLEEN, TX
    ZIP 76549
  • Facility Phone: 254 519-2760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINE PHAM
  • NPI Number: 1417491291
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2130487
LAB Type Pharmacy
Facility Name HEB PHARMACY # 721
Street 1101 W STAN SCHLEUTER LP
City KILLEEN
State TX
ZIP 76549
Phone 254 519-2760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Pharmacy
Lab Director CAROLINE PHAM

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