33D2207247 CLIA NUMBER - WALGREENS NO 17434

Laboratory Demographics

  • CLIA Code: 33D2207247
  • Facility Name: WALGREENS NO 17434
  • Facility Address: 614 COLUMBIA TURNPIKE
    EAST GREENBUSH, NY
    ZIP 12061
  • Facility Phone: 718 730-5579
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1124544945
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2207247
LAB Type Pharmacy
Facility Name WALGREENS NO 17434
Street 614 COLUMBIA TURNPIKE
City EAST GREENBUSH
State NY
ZIP 12061
Phone 718 730-5579
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