33D2237942 CLIA NUMBER - WALGREENS NO 17856

Laboratory Demographics

  • CLIA Code: 33D2237942
  • Facility Name: WALGREENS NO 17856
  • Facility Address: 4357 NY HWY 150
    WEST SAND LAKE, NY
    ZIP 12196
  • Facility Phone: 518 674-5877
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1124541917
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237942
LAB Type Pharmacy
Facility Name WALGREENS NO 17856
Street 4357 NY HWY 150
City WEST SAND LAKE
State NY
ZIP 12196
Phone 518 674-5877
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