33D2226659 CLIA NUMBER - WALGREENS NO 09413

Laboratory Demographics

  • CLIA Code: 33D2226659
  • Facility Name: WALGREENS NO 09413
  • Facility Address: 5206 W GENESEE ST
    CAMILLUS, NY
    ZIP 13031
  • Facility Phone: 315 468-1701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1831124841
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2226659
LAB Type Pharmacy
Facility Name WALGREENS NO 09413
Street 5206 W GENESEE ST
City CAMILLUS
State NY
ZIP 13031
Phone 315 468-1701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2021
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