33D2237896 CLIA NUMBER - WALGREENS NO 04968

Laboratory Demographics

  • CLIA Code: 33D2237896
  • Facility Name: WALGREENS NO 04968
  • Facility Address: 5 N TRANSIT ST
    LOCKPORT, NY
    ZIP 14094
  • Facility Phone: 716 433-0367
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1285649335
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237896
LAB Type Pharmacy
Facility Name WALGREENS NO 04968
Street 5 N TRANSIT ST
City LOCKPORT
State NY
ZIP 14094
Phone 716 433-0367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2021
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