33D2240522 CLIA NUMBER - WALGREENS NO 18978

Laboratory Demographics

  • CLIA Code: 33D2240522
  • Facility Name: WALGREENS NO 18978
  • Facility Address: 15 COLEMAN ST
    CHATHAM, NY
    ZIP 12037
  • Facility Phone: 518 392-2616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1063936227
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240522
LAB Type Pharmacy
Facility Name WALGREENS NO 18978
Street 15 COLEMAN ST
City CHATHAM
State NY
ZIP 12037
Phone 518 392-2616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2021
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