33D2237786 CLIA NUMBER - WALGREENS NO 12081

Laboratory Demographics

  • CLIA Code: 33D2237786
  • Facility Name: WALGREENS NO 12081
  • Facility Address: 6199 S PARK AVE
    HAMBURG, NY
    ZIP 14075
  • Facility Phone: 716 648-1475
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1750698775
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237786
LAB Type Pharmacy
Facility Name WALGREENS NO 12081
Street 6199 S PARK AVE
City HAMBURG
State NY
ZIP 14075
Phone 716 648-1475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2021
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: 9/29/2025