33D2212237 CLIA NUMBER - WALGREENS #19578

Laboratory Demographics

  • CLIA Code: 33D2212237
  • Facility Name: WALGREENS #19578
  • Facility Address: 89 BROOKSIDE AVE
    CHESTER, NY
    ZIP 10918
  • Facility Phone: 845 661-5444
  • Facility Type: Insurance
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1417472036
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2212237
LAB Type Insurance
Facility Name WALGREENS #19578
Street 89 BROOKSIDE AVE
City CHESTER
State NY
ZIP 10918
Phone 845 661-5444
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 Insurance
Lab Director DR. ZEIAD FAKHOURI

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