45D2291069 CLIA NUMBER - HEB PHARMACY #760

Laboratory Demographics

  • CLIA Code: 45D2291069
  • Facility Name: HEB PHARMACY #760
  • Facility Address: 17119 HIGHWAY 6
    MANVEL, TX
    ZIP 77578
  • Facility Phone: 210 938-2760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON NGUYEN
  • NPI Number: 1376224147
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2291069
LAB Type Pharmacy
Facility Name HEB PHARMACY #760
Street 17119 HIGHWAY 6
City MANVEL
State TX
ZIP 77578
Phone 210 938-2760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director JASON NGUYEN

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