33D2192806 CLIA NUMBER - WALGREENS NO 09585

Laboratory Demographics

  • CLIA Code: 33D2192806
  • Facility Name: WALGREENS NO 09585
  • Facility Address: 430 SPENCERPORT RD
    ROCHESTER, NY
    ZIP 14606
  • Facility Phone: 315 382-9947
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1063937662
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2192806
LAB Type Pharmacy
Facility Name WALGREENS NO 09585
Street 430 SPENCERPORT RD
City ROCHESTER
State NY
ZIP 14606
Phone 315 382-9947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2020
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