33D2240539 CLIA NUMBER - WALGREENS NO 18074

Laboratory Demographics

  • CLIA Code: 33D2240539
  • Facility Name: WALGREENS NO 18074
  • Facility Address: 73 N MAIN ST
    BROCKPORT, NY
    ZIP 14420
  • Facility Phone: 585 637-1151
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1053835629
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240539
LAB Type Pharmacy
Facility Name WALGREENS NO 18074
Street 73 N MAIN ST
City BROCKPORT
State NY
ZIP 14420
Phone 585 637-1151
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