FDA UDI Not in Commercial Distribution 🇺🇸 United States

H.E.B

DI: 00041220575794 · Model: Advanced Early Result Pregnancy Test · H. E. BUTT GROCERY COMPANY
Product Codes
1
GMDN Terms
1
Identifiers
3
Pkg Device Count
2

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Basic Information

Brand Name
H.E.B
Primary DI
00041220575794
Version / Model
Advanced Early Result Pregnancy Test
Company Name
H. E. BUTT GROCERY COMPANY
Labeler DUNS
007924756
Distribution Status
Not in Commercial Distribution
Device Count in Pkg
2
Record Status
Published
Publish Date
2021-06-13
Public Version
5
Public Version Date
2025-12-01
Public Version Status
Update
Public Device Record Key
4b37a15d-2195-480b-af7f-89a56d1c7bd4
Distribution End Date
2025-11-28

Device Description

HEB DPS Advanced Early Result Pink Cap

Device Characteristics

Single Use
Yes
Prescription Use (Rx)
No
Over the Counter (OTC)
Yes
Kit
No
Combination Product
No
HCT/P
No
Contains NRL
No
Not Made with NRL
No
MRI Safety
Labeling does not contain MRI Safety Information
Direct Marking Exempt
No
PM Exempt
No
Has Serial Number
No
Has Lot/Batch Number
Yes
Has Manufacturing Date
No
Has Expiration Date
Yes
Has Donation ID
No

Sterilization

Is Sterile
No
Sterilization Prior Use
No

Product Codes

Code Name
LCX Kit, Test, Pregnancy, Hcg, Over The Counter

GMDN Terms

Code Name
33819 Total human chorionic gonadotropin IVD, kit, rapid ICT, clinical

Identifiers

Type ID
Package 10041220575791
Primary 00041220575794
Unit of Use 00633472000508

Customer Contacts

Premarket Submissions

Submission Number Supplement Number
K042280 000

Storage Conditions

Type
Storage Environment Temperature
Temperature Range
2 – 30 Degrees Celsius