45D2290842 CLIA NUMBER - HEB PHARMACY #796

Laboratory Demographics

  • CLIA Code: 45D2290842
  • Facility Name: HEB PHARMACY #796
  • Facility Address: 575 E EXCHANGE PKWY
    ALLEN, TX
    ZIP 75002
  • Facility Phone: 210 938-2796
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUAN CARLOS SALAZAR
  • NPI Number: 1568143337
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2290842
LAB Type Pharmacy
Facility Name HEB PHARMACY #796
Street 575 E EXCHANGE PKWY
City ALLEN
State TX
ZIP 75002
Phone 210 938-2796
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Pharmacy
Lab Director JUAN CARLOS SALAZAR

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