33D2222474 CLIA NUMBER - WALGREENS #16064

Laboratory Demographics

  • CLIA Code: 33D2222474
  • Facility Name: WALGREENS #16064
  • Facility Address: 81 ROUTE 303
    TAPPAN, NY
    ZIP 10983
  • Facility Phone: (845) 792-3006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1972051027
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2222474
LAB Type Pharmacy
Facility Name WALGREENS #16064
Street 81 ROUTE 303
City TAPPAN
State NY
ZIP 10983
Phone 8457923006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ZEIAD FAKHOURI

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This page was last updated on: 5/18/2026