33D2240571 CLIA NUMBER - WALGREENS NO 19328

Laboratory Demographics

  • CLIA Code: 33D2240571
  • Facility Name: WALGREENS NO 19328
  • Facility Address: 2160 STATE RTE 9
    LAKE GEORGE, NY
    ZIP 12845
  • Facility Phone: 518 668-0043
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1093239923
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2240571
LAB Type Pharmacy
Facility Name WALGREENS NO 19328
Street 2160 STATE RTE 9
City LAKE GEORGE
State NY
ZIP 12845
Phone 518 668-0043
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025