33D2212686 CLIA NUMBER - WALGREENS #13750

Laboratory Demographics

  • CLIA Code: 33D2212686
  • Facility Name: WALGREENS #13750
  • Facility Address: 7001 AMBOY RD
    STATEN ISLAND, NY
    ZIP 10307
  • Facility Phone: 917 402-7499
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1104236355
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2212686
LAB Type Pharmacy
Facility Name WALGREENS #13750
Street 7001 AMBOY RD
City STATEN ISLAND
State NY
ZIP 10307
Phone 917 402-7499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2021
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