33D2240894 CLIA NUMBER - WALGREENS NO 19725

Laboratory Demographics

  • CLIA Code: 33D2240894
  • Facility Name: WALGREENS NO 19725
  • Facility Address: 1490 LAKE AVE
    ROCHESTER, NY
    ZIP 14615
  • Facility Phone: 585 458-2260
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1841714151
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240894
LAB Type Pharmacy
Facility Name WALGREENS NO 19725
Street 1490 LAKE AVE
City ROCHESTER
State NY
ZIP 14615
Phone 585 458-2260
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