33D2237097 CLIA NUMBER - WALGREENS NO 10443

Laboratory Demographics

  • CLIA Code: 33D2237097
  • Facility Name: WALGREENS NO 10443
  • Facility Address: 3564 DELAWARE AVE
    TOWN OF TONAWANDA, NY
    ZIP 14217
  • Facility Phone: 716 873-5348
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1649285792
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237097
LAB Type Pharmacy
Facility Name WALGREENS NO 10443
Street 3564 DELAWARE AVE
City TOWN OF TONAWANDA
State NY
ZIP 14217
Phone 716 873-5348
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 A. FAKHOURI

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This page was last updated on: 6/4/2025