45D2173806 CLIA NUMBER - HEB PHARMACY #757

Laboratory Demographics

  • CLIA Code: 45D2173806
  • Facility Name: HEB PHARMACY #757
  • Facility Address: 10200 HIGHWAY 242
    CONROE, TX
    ZIP 77385
  • Facility Phone: 210 938-2757
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON BEAUCHAMP
  • NPI Number: 1225690134
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2173806
LAB Type Pharmacy
Facility Name HEB PHARMACY #757
Street 10200 HIGHWAY 242
City CONROE
State TX
ZIP 77385
Phone 210 938-2757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Pharmacy
Lab Director JASON BEAUCHAMP

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