33D2243382 CLIA NUMBER - WALGREENS NO 17365

Laboratory Demographics

  • CLIA Code: 33D2243382
  • Facility Name: WALGREENS NO 17365
  • Facility Address: 3739 BURGOYNE AVE
    HUDSON FALLS, NY
    ZIP 12839
  • Facility Phone: (518) 747-0292
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1326561119
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2243382
LAB Type Pharmacy
Facility Name WALGREENS NO 17365
Street 3739 BURGOYNE AVE
City HUDSON FALLS
State NY
ZIP 12839
Phone 5187470292
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