33D2237036 CLIA NUMBER - WALGREENS NO 17643

Laboratory Demographics

  • CLIA Code: 33D2237036
  • Facility Name: WALGREENS NO 17643
  • Facility Address: 8230 CAZENOVIA RD
    MANLIUS, NY
    ZIP 13104
  • Facility Phone: (315) 682-9153
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOVRI
  • NPI Number: 1982120549
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237036
LAB Type Pharmacy
Facility Name WALGREENS NO 17643
Street 8230 CAZENOVIA RD
City MANLIUS
State NY
ZIP 13104
Phone 3156829153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ZEIAD FAKHOVRI

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This page was last updated on: 5/18/2026