45D2306152 CLIA NUMBER - HEB PHARMACY #750

Laboratory Demographics

  • CLIA Code: 45D2306152
  • Facility Name: HEB PHARMACY #750
  • Facility Address: 1670 EAST BROAD STREET
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 210 938-2750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSH ORTEGA
  • NPI Number: 1205697455
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2306152
LAB Type Pharmacy
Facility Name HEB PHARMACY #750
Street 1670 EAST BROAD STREET
City MANSFIELD
State TX
ZIP 76063
Phone 210 938-2750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Pharmacy
Lab Director JOSH ORTEGA

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