33D2240854 CLIA NUMBER - WALGREENS NO 19884

Laboratory Demographics

  • CLIA Code: 33D2240854
  • Facility Name: WALGREENS NO 19884
  • Facility Address: 463 ALBANY SHAKER RD
    LOUDONVILLE, NY
    ZIP 12211
  • Facility Phone: 518 458-1205
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1134644271
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240854
LAB Type Pharmacy
Facility Name WALGREENS NO 19884
Street 463 ALBANY SHAKER RD
City LOUDONVILLE
State NY
ZIP 12211
Phone 518 458-1205
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