33D2223332 CLIA NUMBER - WALGREENS #17151

Laboratory Demographics

  • CLIA Code: 33D2223332
  • Facility Name: WALGREENS #17151
  • Facility Address: 10640 ROCKAWAY BEACH BLVD
    ROCKAWAY PARK, NY
    ZIP 11694
  • Facility Phone: 718 318-8512
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1326563107
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2223332
LAB Type Pharmacy
Facility Name WALGREENS #17151
Street 10640 ROCKAWAY BEACH BLVD
City ROCKAWAY PARK
State NY
ZIP 11694
Phone 718 318-8512
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 DR. ZEIAD FAKHOURI

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