33D2243395 CLIA NUMBER - WALGREENS NO 10955

Laboratory Demographics

  • CLIA Code: 33D2243395
  • Facility Name: WALGREENS NO 10955
  • Facility Address: 19 CENTRAL AVE
    CATSKILL, NY
    ZIP 12414
  • Facility Phone: 518 943-4182
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1437306495
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2243395
LAB Type Pharmacy
Facility Name WALGREENS NO 10955
Street 19 CENTRAL AVE
City CATSKILL
State NY
ZIP 12414
Phone 518 943-4182
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