45D2271192 CLIA NUMBER - HEB PHARMACY #791

Laboratory Demographics

  • CLIA Code: 45D2271192
  • Facility Name: HEB PHARMACY #791
  • Facility Address: 12350 INTERSTATE 45 N
    WILLIS, TX
    ZIP 77378
  • Facility Phone: 210 938-2791
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLLIN ROSS
  • NPI Number: 1942932728
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2271192
LAB Type Pharmacy
Facility Name HEB PHARMACY #791
Street 12350 INTERSTATE 45 N
City WILLIS
State TX
ZIP 77378
Phone 210 938-2791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Pharmacy
Lab Director COLLIN ROSS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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