33D2237901 CLIA NUMBER - WALGREENS NO 10218

Laboratory Demographics

  • CLIA Code: 33D2237901
  • Facility Name: WALGREENS NO 10218
  • Facility Address: 226 LIBERTY ST
    PENN YAN, NY
    ZIP 14527
  • Facility Phone: 315 536-1401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1831384999
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2237901
LAB Type Pharmacy
Facility Name WALGREENS NO 10218
Street 226 LIBERTY ST
City PENN YAN
State NY
ZIP 14527
Phone 315 536-1401
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025