33D2240568 CLIA NUMBER - WALGREENS NO 17860

Laboratory Demographics

  • CLIA Code: 33D2240568
  • Facility Name: WALGREENS NO 17860
  • Facility Address: 94 MAIN ST
    SOUTH GLENS FALLS, NY
    ZIP 12803
  • Facility Phone: 518 792-5575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1750805156
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240568
LAB Type Pharmacy
Facility Name WALGREENS NO 17860
Street 94 MAIN ST
City SOUTH GLENS FALLS
State NY
ZIP 12803
Phone 518 792-5575
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