33D2191597 CLIA NUMBER - WALGREENS NO 03470

Laboratory Demographics

  • CLIA Code: 33D2191597
  • Facility Name: WALGREENS NO 03470
  • Facility Address: 984 NEW YORK AVE
    HUNTINGTON STATION, NY
    ZIP 11746
  • Facility Phone: (631) 271-2965
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1326053497
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2191597
LAB Type Pharmacy
Facility Name WALGREENS NO 03470
Street 984 NEW YORK AVE
City HUNTINGTON STATION
State NY
ZIP 11746
Phone 6312712965
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: 5/18/2026