33D2243369 CLIA NUMBER - WALGREENS NO 05135

Laboratory Demographics

  • CLIA Code: 33D2243369
  • Facility Name: WALGREENS NO 05135
  • Facility Address: 655 MIDDLE COUNTRY RD
    SELDEN, NY
    ZIP 11784
  • Facility Phone: (631) 451-6849
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1538174685
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2243369
LAB Type Pharmacy
Facility Name WALGREENS NO 05135
Street 655 MIDDLE COUNTRY RD
City SELDEN
State NY
ZIP 11784
Phone 6314516849
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

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This page was last updated on: 5/18/2026