33D2226513 CLIA NUMBER - WALGREENS #15160

Laboratory Demographics

  • CLIA Code: 33D2226513
  • Facility Name: WALGREENS #15160
  • Facility Address: 655 ROSSVILLE AVE
    STATEN ISLAND, NY
    ZIP 10309
  • Facility Phone: 718 967-2955
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1386990323
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2226513
LAB Type Pharmacy
Facility Name WALGREENS #15160
Street 655 ROSSVILLE AVE
City STATEN ISLAND
State NY
ZIP 10309
Phone 718 967-2955
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