33D2221921 CLIA NUMBER - WALGREENS #11378

Laboratory Demographics

  • CLIA Code: 33D2221921
  • Facility Name: WALGREENS #11378
  • Facility Address: 301 CORNELIA ST
    PLATTSBURGH, NY
    ZIP 12901
  • Facility Phone: 518 314-6487
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1326377078
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2221921
LAB Type Pharmacy
Facility Name WALGREENS #11378
Street 301 CORNELIA ST
City PLATTSBURGH
State NY
ZIP 12901
Phone 518 314-6487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2021
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