33D2212228 CLIA NUMBER - WALGREENS #10159

Laboratory Demographics

  • CLIA Code: 33D2212228
  • Facility Name: WALGREENS #10159
  • Facility Address: 201 S JAMES ST
    ROME, NY
    ZIP 13440
  • Facility Phone: (315) 339-9380
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1427232438
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2212228
LAB Type Pharmacy
Facility Name WALGREENS #10159
Street 201 S JAMES ST
City ROME
State NY
ZIP 13440
Phone 3153399380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ZEIAD FAKHOURI

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This page was last updated on: 5/18/2026