33D2237788 CLIA NUMBER - WALGREENS NO 12066

Laboratory Demographics

  • CLIA Code: 33D2237788
  • Facility Name: WALGREENS NO 12066
  • Facility Address: 2320 GRAND ISLAND BLVD
    GRAND ISLAND, NY
    ZIP 14072
  • Facility Phone: 716 775-0691
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1215261433
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237788
LAB Type Pharmacy
Facility Name WALGREENS NO 12066
Street 2320 GRAND ISLAND BLVD
City GRAND ISLAND
State NY
ZIP 14072
Phone 716 775-0691
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