33D2191595 CLIA NUMBER - WALGREENS NO 09971

Laboratory Demographics

  • CLIA Code: 33D2191595
  • Facility Name: WALGREENS NO 09971
  • Facility Address: 41 HOLLAND AVE
    ALBANY, NY
    ZIP 12208
  • Facility Phone: 518 426-2976
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1750516852
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2191595
LAB Type Pharmacy
Facility Name WALGREENS NO 09971
Street 41 HOLLAND AVE
City ALBANY
State NY
ZIP 12208
Phone 518 426-2976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ZEIAD FAKHOURI

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