33D2226667 CLIA NUMBER - WALGREENS NO 12117

Laboratory Demographics

  • CLIA Code: 33D2226667
  • Facility Name: WALGREENS NO 12117
  • Facility Address: 1066 PAYNE AVE
    NORTH TONAWANDA, NY
    ZIP 14120
  • Facility Phone: 716 694-0323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1730326620
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2226667
LAB Type Pharmacy
Facility Name WALGREENS NO 12117
Street 1066 PAYNE AVE
City NORTH TONAWANDA
State NY
ZIP 14120
Phone 716 694-0323
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