33D2237935 CLIA NUMBER - WALGREENS NO 17276

Laboratory Demographics

  • CLIA Code: 33D2237935
  • Facility Name: WALGREENS NO 17276
  • Facility Address: 3588 STATE RTE 31
    BALDWINSVILLE, NY
    ZIP 13027
  • Facility Phone: 315 715-6030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1922524255
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237935
LAB Type Pharmacy
Facility Name WALGREENS NO 17276
Street 3588 STATE RTE 31
City BALDWINSVILLE
State NY
ZIP 13027
Phone 315 715-6030
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