33D2226511 CLIA NUMBER - WALGREEN #09416

Laboratory Demographics

  • CLIA Code: 33D2226511
  • Facility Name: WALGREEN #09416
  • Facility Address: 2329 JAMES ST
    SYRACUSE, NY
    ZIP 13206
  • Facility Phone: 315 437-0893
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1801024344
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2226511
LAB Type Pharmacy
Facility Name WALGREEN #09416
Street 2329 JAMES ST
City SYRACUSE
State NY
ZIP 13206
Phone 315 437-0893
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 Pharmacy
Lab Director DR. ZEIAD FAKHOURI

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