33D2237918 CLIA NUMBER - WALGREENS NO 03916

Laboratory Demographics

  • CLIA Code: 33D2237918
  • Facility Name: WALGREENS NO 03916
  • Facility Address: 758 ARTHUR KILL RD
    STATEN ISLAND, NY
    ZIP 10312
  • Facility Phone: 718 317-5085
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1952316028
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237918
LAB Type Pharmacy
Facility Name WALGREENS NO 03916
Street 758 ARTHUR KILL RD
City STATEN ISLAND
State NY
ZIP 10312
Phone 718 317-5085
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