33D2237908 CLIA NUMBER - WALGREENS NO 11377

Laboratory Demographics

  • CLIA Code: 33D2237908
  • Facility Name: WALGREENS NO 11377
  • Facility Address: 6707 PITTSFORD PALMYRA RD
    FAIRPORT, NY
    ZIP 14450
  • Facility Phone: 585 360-1814
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1790016509
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237908
LAB Type Pharmacy
Facility Name WALGREENS NO 11377
Street 6707 PITTSFORD PALMYRA RD
City FAIRPORT
State NY
ZIP 14450
Phone 585 360-1814
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