33D2293554 CLIA NUMBER - DUANE READE NO 14125

Laboratory Demographics

  • CLIA Code: 33D2293554
  • Facility Name: DUANE READE NO 14125
  • Facility Address: 67 BROAD ST
    NEW YORK, NY
    ZIP 10004
  • Facility Phone: 212 943-3690
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1366468480
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293554
LAB Type Pharmacy
Facility Name DUANE READE NO 14125
Street 67 BROAD ST
City NEW YORK
State NY
ZIP 10004
Phone 212 943-3690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
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