33D2213500 CLIA NUMBER - DUANE READE NO 21210

Laboratory Demographics

  • CLIA Code: 33D2213500
  • Facility Name: DUANE READE NO 21210
  • Facility Address: 526 WEST 30TH ST
    NEW YORK, NY
    ZIP 10001
  • Facility Phone: 917 709-5115
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1558431841
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2213500
LAB Type Pharmacy
Facility Name DUANE READE NO 21210
Street 526 WEST 30TH ST
City NEW YORK
State NY
ZIP 10001
Phone 917 709-5115
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: 9/29/2025