33D2243367 CLIA NUMBER - WALGREENS NO 02626

Laboratory Demographics

  • CLIA Code: 33D2243367
  • Facility Name: WALGREENS NO 02626
  • Facility Address: 93 FOREST AVE
    GLEN COVE, NY
    ZIP 11542
  • Facility Phone: 516 671-4908
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1033124102
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2243367
LAB Type Pharmacy
Facility Name WALGREENS NO 02626
Street 93 FOREST AVE
City GLEN COVE
State NY
ZIP 11542
Phone 516 671-4908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2021
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