33D2248362 CLIA NUMBER - WALGREEN'S NO 09937

Laboratory Demographics

  • CLIA Code: 33D2248362
  • Facility Name: WALGREEN'S NO 09937
  • Facility Address: 10 PROSPECT ST
    JAMESTOWN, NY
    ZIP 14701
  • Facility Phone: 716 661-9230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1851582761
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2248362
LAB Type Pharmacy
Facility Name WALGREEN'S NO 09937
Street 10 PROSPECT ST
City JAMESTOWN
State NY
ZIP 14701
Phone 716 661-9230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2022
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