33D2207256 CLIA NUMBER - WALGREENS NO 09414

Laboratory Demographics

  • CLIA Code: 33D2207256
  • Facility Name: WALGREENS NO 09414
  • Facility Address: 5173 W TAFT RD
    NORTH SYRACUSE, NY
    ZIP 13212
  • Facility Phone: 315 447-5025
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1285151167
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2207256
LAB Type Pharmacy
Facility Name WALGREENS NO 09414
Street 5173 W TAFT RD
City NORTH SYRACUSE
State NY
ZIP 13212
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