33D2218450 CLIA NUMBER - WALGREENS NO 06179

Laboratory Demographics

  • CLIA Code: 33D2218450
  • Facility Name: WALGREENS NO 06179
  • Facility Address: 1551 RICHMOND AVE
    STATEN ISLAND, NY
    ZIP 10314
  • Facility Phone: 718 698-8526
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1518972686
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2218450
LAB Type Pharmacy
Facility Name WALGREENS NO 06179
Street 1551 RICHMOND AVE
City STATEN ISLAND
State NY
ZIP 10314
Phone 718 698-8526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2021
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