33D2237913 CLIA NUMBER - WALGREENS NO 10752

Laboratory Demographics

  • CLIA Code: 33D2237913
  • Facility Name: WALGREENS NO 10752
  • Facility Address: 222 5TH AVE EXT
    GLOVERSVILLE, NY
    ZIP 12078
  • Facility Phone: 518 773-8449
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1598903700
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2237913
LAB Type Pharmacy
Facility Name WALGREENS NO 10752
Street 222 5TH AVE EXT
City GLOVERSVILLE
State NY
ZIP 12078
Phone 518 773-8449
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