33D2240917 CLIA NUMBER - WALGREENS NO 19948

Laboratory Demographics

  • CLIA Code: 33D2240917
  • Facility Name: WALGREENS NO 19948
  • Facility Address: 1901 2ND AVE
    WATERVLIET, NY
    ZIP 12189
  • Facility Phone: 518 271-0311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1861917924
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2240917
LAB Type Pharmacy
Facility Name WALGREENS NO 19948
Street 1901 2ND AVE
City WATERVLIET
State NY
ZIP 12189
Phone 518 271-0311
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