33D2226663 CLIA NUMBER - WALGREENS NO 10293

Laboratory Demographics

  • CLIA Code: 33D2226663
  • Facility Name: WALGREENS NO 10293
  • Facility Address: 173 MARKET ST
    POTSDAM, NY
    ZIP 13676
  • Facility Phone: 315 265-6192
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1588734552
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2226663
LAB Type Pharmacy
Facility Name WALGREENS NO 10293
Street 173 MARKET ST
City POTSDAM
State NY
ZIP 13676
Phone 315 265-6192
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