33D2221928 CLIA NUMBER - WALGREENS #13726

Laboratory Demographics

  • CLIA Code: 33D2221928
  • Facility Name: WALGREENS #13726
  • Facility Address: 208 E ROUTE 59
    SPRING VALLEY, NY
    ZIP 10977
  • Facility Phone: 845 352-7865
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1821369893
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2221928
LAB Type Pharmacy
Facility Name WALGREENS #13726
Street 208 E ROUTE 59
City SPRING VALLEY
State NY
ZIP 10977
Phone 845 352-7865
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