33D2212230 CLIA NUMBER - WALGREENS #11961

Laboratory Demographics

  • CLIA Code: 33D2212230
  • Facility Name: WALGREENS #11961
  • Facility Address: 704 FREEDOM PLAINS RD
    POUGHKEEPSIE, NY
    ZIP 12603
  • Facility Phone: 846 797-8177
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1972732345
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2212230
LAB Type Pharmacy
Facility Name WALGREENS #11961
Street 704 FREEDOM PLAINS RD
City POUGHKEEPSIE
State NY
ZIP 12603
Phone 846 797-8177
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: 9/29/2025