33D2237910 CLIA NUMBER - WALGREENS NO 12489

Laboratory Demographics

  • CLIA Code: 33D2237910
  • Facility Name: WALGREENS NO 12489
  • Facility Address: 665 LONG POND RD
    ROCHESTER, NY
    ZIP 14612
  • Facility Phone: 585 210-4701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1821389883
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237910
LAB Type Pharmacy
Facility Name WALGREENS NO 12489
Street 665 LONG POND RD
City ROCHESTER
State NY
ZIP 14612
Phone 585 210-4701
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