45D2196040 CLIA NUMBER - HEB PHARMACY #773

Laboratory Demographics

  • CLIA Code: 45D2196040
  • Facility Name: HEB PHARMACY #773
  • Facility Address: 1601 TRINITY ST
    AUSTIN, TX
    ZIP 78712
  • Facility Phone: 210 938-2773
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN CLARK
  • NPI Number: 1396382552
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2196040
LAB Type Pharmacy
Facility Name HEB PHARMACY #773
Street 1601 TRINITY ST
City AUSTIN
State TX
ZIP 78712
Phone 210 938-2773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Pharmacy
Lab Director LAUREN CLARK

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