33D2226504 CLIA NUMBER - WALGREENS #03267

Laboratory Demographics

  • CLIA Code: 33D2226504
  • Facility Name: WALGREENS #03267
  • Facility Address: 2043 KENSINGTON AVE
    AMHERST, NY
    ZIP 14226
  • Facility Phone: 716 839-1906
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1831106871
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2226504
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name WALGREENS #03267
Street 2043 KENSINGTON AVE
City AMHERST
State NY
ZIP 14226
Phone 716 839-1906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2021
Certificate Expiration Date 3/26/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DR. ZEIAD FAKHOURI

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