33D2207249 CLIA NUMBER - WALGREENS NO 10512

Laboratory Demographics

  • CLIA Code: 33D2207249
  • Facility Name: WALGREENS NO 10512
  • Facility Address: 720 E RIDGE RD
    ROCHESTER, NY
    ZIP 14621
  • Facility Phone: 315 447-5025
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1649797283
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2207249
LAB Type Pharmacy
Facility Name WALGREENS NO 10512
Street 720 E RIDGE RD
City ROCHESTER
State NY
ZIP 14621
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 FAKHOURI

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