33D2243393 CLIA NUMBER - WALGREENS NO 07628

Laboratory Demographics

  • CLIA Code: 33D2243393
  • Facility Name: WALGREENS NO 07628
  • Facility Address: 10 W MAIN ST
    SMITHTOWN, NY
    ZIP 11787
  • Facility Phone: 631 724-0381
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1669487740
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2243393
LAB Type Pharmacy
Facility Name WALGREENS NO 07628
Street 10 W MAIN ST
City SMITHTOWN
State NY
ZIP 11787
Phone 631 724-0381
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