33D2221112 CLIA NUMBER - WALGREENS #10219

Laboratory Demographics

  • CLIA Code: 33D2221112
  • Facility Name: WALGREENS #10219
  • Facility Address: 929 ARSENAL ST
    WATERTOWN, NY
    ZIP 13601
  • Facility Phone: 315 788-0309
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1700816576
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2221112
LAB Type Pharmacy
Facility Name WALGREENS #10219
Street 929 ARSENAL ST
City WATERTOWN
State NY
ZIP 13601
Phone 315 788-0309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2021
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