33D2215427 CLIA NUMBER - WALGREENS #10864

Laboratory Demographics

  • CLIA Code: 33D2215427
  • Facility Name: WALGREENS #10864
  • Facility Address: 402 N MAIN ST
    ELMIRA, NY
    ZIP 14901
  • Facility Phone: 607 271-9480
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1740461284
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2215427
LAB Type Pharmacy
Facility Name WALGREENS #10864
Street 402 N MAIN ST
City ELMIRA
State NY
ZIP 14901
Phone 607 271-9480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2021
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