45D2246349 CLIA NUMBER - HEB PHARMACY #769

Laboratory Demographics

CLIA Number: 45D2246349

Facility Name: HEB PHARMACY #769

Facility Address:
18611 EASTFIELD DR
WEBSTER, TX
ZIP 77598
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Facility Phone Number: 210 938-2769

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1881369916

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	45D2246349
LAB Type	Pharmacy
Facility Name	HEB PHARMACY #769
Street	18611 EASTFIELD DR
City	WEBSTER
State	TX
ZIP	77598
Phone	210 938-2769
CertificateType	4
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Waiver

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