33D2226666 CLIA NUMBER - WALGREENS NO 16303

Laboratory Demographics

  • CLIA Code: 33D2226666
  • Facility Name: WALGREENS NO 16303
  • Facility Address: 26 WICKS RD
    BRENTWOOD, NY
    ZIP 11717
  • Facility Phone: 631 637-3317
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1194273854
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2226666
LAB Type Pharmacy
Facility Name WALGREENS NO 16303
Street 26 WICKS RD
City BRENTWOOD
State NY
ZIP 11717
Phone 631 637-3317
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