45D2163906 CLIA NUMBER - HEB PHARMACY #752

Laboratory Demographics

  • CLIA Code: 45D2163906
  • Facility Name: HEB PHARMACY #752
  • Facility Address: 100 HUDSON OAKS DR
    HUDSON OAKS, TX
    ZIP 76087
  • Facility Phone: 210 938-2063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLARENCE RICHARDSON
  • NPI Number: 1194298380
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2163906
LAB Type Pharmacy
Facility Name HEB PHARMACY #752
Street 100 HUDSON OAKS DR
City HUDSON OAKS
State TX
ZIP 76087
Phone 210 938-2063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director CLARENCE RICHARDSON

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