33D2240569 CLIA NUMBER - WALGREENS NO 18064

Laboratory Demographics

  • CLIA Code: 33D2240569
  • Facility Name: WALGREENS NO 18064
  • Facility Address: 7939 BREWERTON RD
    CICERO, NY
    ZIP 13039
  • Facility Phone: 315 699-6384
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1447774021
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240569
LAB Type Pharmacy
Facility Name WALGREENS NO 18064
Street 7939 BREWERTON RD
City CICERO
State NY
ZIP 13039
Phone 315 699-6384
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