33D2237912 CLIA NUMBER - WALGREENS NO 09584

Laboratory Demographics

  • CLIA Code: 33D2237912
  • Facility Name: WALGREENS NO 09584
  • Facility Address: 1650 ELMWOOD AVE
    ROCHESTER, NY
    ZIP 14620
  • Facility Phone: 585 244-2160
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1487796462
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237912
LAB Type Pharmacy
Facility Name WALGREENS NO 09584
Street 1650 ELMWOOD AVE
City ROCHESTER
State NY
ZIP 14620
Phone 585 244-2160
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