33D2243390 CLIA NUMBER - WALGREENS NO 09798

Laboratory Demographics

  • CLIA Code: 33D2243390
  • Facility Name: WALGREENS NO 09798
  • Facility Address: 4855 COMMERCIAL DR
    NEW HARTFORD, NY
    ZIP 13413
  • Facility Phone: 315 736-8774
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1053484840
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2243390
LAB Type Pharmacy
Facility Name WALGREENS NO 09798
Street 4855 COMMERCIAL DR
City NEW HARTFORD
State NY
ZIP 13413
Phone 315 736-8774
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