33D2237915 CLIA NUMBER - WALGREENS NO 10698

Laboratory Demographics

  • CLIA Code: 33D2237915
  • Facility Name: WALGREENS NO 10698
  • Facility Address: 303 MAIN ST
    MASSENA, NY
    ZIP 13662
  • Facility Phone: 315 764-0204
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1619164431
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237915
LAB Type Pharmacy
Facility Name WALGREENS NO 10698
Street 303 MAIN ST
City MASSENA
State NY
ZIP 13662
Phone 315 764-0204
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