33D2223330 CLIA NUMBER - WALGREENS #09800

Laboratory Demographics

  • CLIA Code: 33D2223330
  • Facility Name: WALGREENS #09800
  • Facility Address: 1750 GENESSE ST
    UTICA, NY
    ZIP 13502
  • Facility Phone: 315 266-0260
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. ZEIAD FAKHOURI
  • NPI Number: 1932152915
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2223330
LAB Type Pharmacy
Facility Name WALGREENS #09800
Street 1750 GENESSE ST
City UTICA
State NY
ZIP 13502
Phone 315 266-0260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MR. ZEIAD FAKHOURI

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This page was last updated on: 9/29/2025