33D2240528 CLIA NUMBER - WALGREENS NO 18376

Laboratory Demographics

  • CLIA Code: 33D2240528
  • Facility Name: WALGREENS NO 18376
  • Facility Address: 205 S CAROLINE ST
    HERKIMER, NY
    ZIP 13350
  • Facility Phone: 315 866-4570
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1245756444
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240528
LAB Type Pharmacy
Facility Name WALGREENS NO 18376
Street 205 S CAROLINE ST
City HERKIMER
State NY
ZIP 13350
Phone 315 866-4570
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