33D2219739 CLIA NUMBER - WALGREENS #19977

Laboratory Demographics

  • CLIA Code: 33D2219739
  • Facility Name: WALGREENS #19977
  • Facility Address: 104 GENESEE ST
    ONEIDA, NY
    ZIP 13421
  • Facility Phone: 315 363-3170
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1952827180
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2219739
LAB Type Pharmacy
Facility Name WALGREENS #19977
Street 104 GENESEE ST
City ONEIDA
State NY
ZIP 13421
Phone 315 363-3170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2021
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