33D2243379 CLIA NUMBER - WALGREENS NO 19693

Laboratory Demographics

  • CLIA Code: 33D2243379
  • Facility Name: WALGREENS NO 19693
  • Facility Address: 96 DOLSON AVE
    MIDDLETOWN, NY
    ZIP 10940
  • Facility Phone: 845 343-1447
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1386160067
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2243379
LAB Type Pharmacy
Facility Name WALGREENS NO 19693
Street 96 DOLSON AVE
City MIDDLETOWN
State NY
ZIP 10940
Phone 845 343-1447
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: 9/29/2025