33D2218452 CLIA NUMBER - WALGREENS NO 12733

Laboratory Demographics

  • CLIA Code: 33D2218452
  • Facility Name: WALGREENS NO 12733
  • Facility Address: 202 BROAD ST
    GLENS FALLS, NY
    ZIP 12801
  • Facility Phone: 518 793-3040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1336468479
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2218452
LAB Type Pharmacy
Facility Name WALGREENS NO 12733
Street 202 BROAD ST
City GLENS FALLS
State NY
ZIP 12801
Phone 518 793-3040
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025