45D2173618 CLIA NUMBER - HEB PHARMACY #759

Laboratory Demographics

  • CLIA Code: 45D2173618
  • Facility Name: HEB PHARMACY #759
  • Facility Address: 19529 NORTHPARK DR
    KINGWOOD, TX
    ZIP 77339
  • Facility Phone: 210 938-2759
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY ARANDA
  • NPI Number: 1215599139
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2173618
LAB Type Pharmacy
Facility Name HEB PHARMACY #759
Street 19529 NORTHPARK DR
City KINGWOOD
State TX
ZIP 77339
Phone 210 938-2759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Pharmacy
Lab Director JEREMY ARANDA

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