33D2237946 CLIA NUMBER - WALGREENS NO 17724

Laboratory Demographics

  • CLIA Code: 33D2237946
  • Facility Name: WALGREENS NO 17724
  • Facility Address: 208HERKIMER RD
    UTICA, NY
    ZIP 13502
  • Facility Phone: (315) 735-6081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1972027076
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2237946
LAB Type Pharmacy
Facility Name WALGREENS NO 17724
Street 208HERKIMER RD
City UTICA
State NY
ZIP 13502
Phone 3157356081
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: 5/18/2026