45D2173806 CLIA NUMBER - HEB PHARMACY #757

Laboratory Demographics

CLIA Number: 45D2173806

Facility Name: HEB PHARMACY #757

Facility Address:
10200 HIGHWAY 242
CONROE, TX
ZIP 77385
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Facility Phone Number: 210 938-2757

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1225690134

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	10/18/2023
CertificateExpirationDate	10/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024