33D2240924 CLIA NUMBER - WALGREENS NO 19612

Laboratory Demographics

  • CLIA Code: 33D2240924
  • Facility Name: WALGREENS NO 19612
  • Facility Address: 314 GENESEE ST
    AUBURN, NY
    ZIP 13021
  • Facility Phone: 315 252-7578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1861918526
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2240924
LAB Type Pharmacy
Facility Name WALGREENS NO 19612
Street 314 GENESEE ST
City AUBURN
State NY
ZIP 13021
Phone 315 252-7578
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: 9/29/2025