33D2240848 CLIA NUMBER - WALGREENS NO 19462

Laboratory Demographics

  • CLIA Code: 33D2240848
  • Facility Name: WALGREENS NO 19462
  • Facility Address: 41 PARK PLAZA
    MECHANICVILLE, NY
    ZIP 12118
  • Facility Phone: 518 664-7320
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1326564345
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240848
LAB Type Pharmacy
Facility Name WALGREENS NO 19462
Street 41 PARK PLAZA
City MECHANICVILLE
State NY
ZIP 12118
Phone 518 664-7320
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: 6/4/2025