33D2213497 CLIA NUMBER - DUANE READE DRUG STORE #14477

Laboratory Demographics

  • CLIA Code: 33D2213497
  • Facility Name: DUANE READE DRUG STORE #14477
  • Facility Address: 9511 63RD DR
    REGO PARK, NY
    ZIP 11374
  • Facility Phone: (718) 987-0804
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1295750768
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2213497
LAB Type Pharmacy
Facility Name DUANE READE DRUG STORE #14477
Street 9511 63RD DR
City REGO PARK
State NY
ZIP 11374
Phone 7189870804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2021
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