33D2240888 CLIA NUMBER - WALGREENS NO 19635

Laboratory Demographics

  • CLIA Code: 33D2240888
  • Facility Name: WALGREENS NO 19635
  • Facility Address: 869 SECOND AVE
    TROY, NY
    ZIP 12182
  • Facility Phone: 518 235-5530
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1144745639
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240888
LAB Type Pharmacy
Facility Name WALGREENS NO 19635
Street 869 SECOND AVE
City TROY
State NY
ZIP 12182
Phone 518 235-5530
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