33D2231517 CLIA NUMBER - WALGREENS NO 04845

Laboratory Demographics

  • CLIA Code: 33D2231517
  • Facility Name: WALGREENS NO 04845
  • Facility Address: 89 HENRY ST
    FREEPORT, NY
    ZIP 11520
  • Facility Phone: 516 623-9719
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1295740371
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2231517
LAB Type Pharmacy
Facility Name WALGREENS NO 04845
Street 89 HENRY ST
City FREEPORT
State NY
ZIP 11520
Phone 516 623-9719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2021
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