33D2224049 CLIA NUMBER - WALGREENS #10511

Laboratory Demographics

  • CLIA Code: 33D2224049
  • Facility Name: WALGREENS #10511
  • Facility Address: 2665 E HENRIETTA RD
    HENRIETTA, NY
    ZIP 14467
  • Facility Phone: 585 359-3250
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1588791156
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2224049
LAB Type Pharmacy
Facility Name WALGREENS #10511
Street 2665 E HENRIETTA RD
City HENRIETTA
State NY
ZIP 14467
Phone 585 359-3250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2021
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