45D2137333 CLIA NUMBER - HEB PHARMACY # 734

Laboratory Demographics

  • CLIA Code: 45D2137333
  • Facility Name: HEB PHARMACY # 734
  • Facility Address: 5502 SHERWOOD WAY
    SAN ANGELO, TX
    ZIP 76901
  • Facility Phone: 210 938-8915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOEY DOUGAN
  • NPI Number: 1285743625
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137333
LAB Type Pharmacy
Facility Name HEB PHARMACY # 734
Street 5502 SHERWOOD WAY
City SAN ANGELO
State TX
ZIP 76901
Phone 210 938-8915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Pharmacy
Lab Director JOEY DOUGAN

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