45D2141071 CLIA NUMBER - HEB PHARMACY 727

Laboratory Demographics

  • CLIA Code: 45D2141071
  • Facility Name: HEB PHARMACY 727
  • Facility Address: 23500 BERRY PARKWAY
    RICHMOND, TX
    ZIP 77469
  • Facility Phone: 210 938-8915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TARA JONES
  • NPI Number: 1295251460
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2141071
LAB Type Pharmacy
Facility Name HEB PHARMACY 727
Street 23500 BERRY PARKWAY
City RICHMOND
State TX
ZIP 77469
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 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director TARA JONES

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