33D2237916 CLIA NUMBER - WALGREENS NO 11716

Laboratory Demographics

  • CLIA Code: 33D2237916
  • Facility Name: WALGREENS NO 11716
  • Facility Address: 321 W WASHINGTON ST
    BATH, NY
    ZIP 14810
  • Facility Phone: 607 776-6039
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1619146594
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237916
LAB Type Pharmacy
Facility Name WALGREENS NO 11716
Street 321 W WASHINGTON ST
City BATH
State NY
ZIP 14810
Phone 607 776-6039
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