33D2207246 CLIA NUMBER - WALGREENS NO 18076

Laboratory Demographics

  • CLIA Code: 33D2207246
  • Facility Name: WALGREENS NO 18076
  • Facility Address: 4061 ROUTE 104
    WILLIAMSON, NY
    ZIP 14589
  • Facility Phone: 315 447-5025
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1275057853
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2207246
LAB Type Pharmacy
Facility Name WALGREENS NO 18076
Street 4061 ROUTE 104
City WILLIAMSON
State NY
ZIP 14589
Phone 315 447-5025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ZEIAD A. FAKHOURI

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