33D2240840 CLIA NUMBER - WALGREENS NO 19353

Laboratory Demographics

  • CLIA Code: 33D2240840
  • Facility Name: WALGREENS NO 19353
  • Facility Address: 8052 STATE RTE 12
    BARNEVELD, NY
    ZIP 13304
  • Facility Phone: 315 896-4601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1619491420
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240840
LAB Type Pharmacy
Facility Name WALGREENS NO 19353
Street 8052 STATE RTE 12
City BARNEVELD
State NY
ZIP 13304
Phone 315 896-4601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2021
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