33D2240921 CLIA NUMBER - WALGREENS NO 19549

Laboratory Demographics

  • CLIA Code: 33D2240921
  • Facility Name: WALGREENS NO 19549
  • Facility Address: 4751 ONONDAGA BLVD
    SYRACUSE, NY
    ZIP 13219
  • Facility Phone: 315 476-2141
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1366966632
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2240921
LAB Type Pharmacy
Facility Name WALGREENS NO 19549
Street 4751 ONONDAGA BLVD
City SYRACUSE
State NY
ZIP 13219
Phone 315 476-2141
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025