33D2207248 CLIA NUMBER - WALGREENS NO 10751

Laboratory Demographics

  • CLIA Code: 33D2207248
  • Facility Name: WALGREENS NO 10751
  • Facility Address: 820 FORT SALONGA RD
    NORTHPORT, NY
    ZIP 11768
  • Facility Phone: 631 261-1057
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1538325774
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2207248
LAB Type Pharmacy
Facility Name WALGREENS NO 10751
Street 820 FORT SALONGA RD
City NORTHPORT
State NY
ZIP 11768
Phone 631 261-1057
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 FAKHOURI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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