33D2293565 CLIA NUMBER - DUANE READE NO 14503

Laboratory Demographics

  • CLIA Code: 33D2293565
  • Facility Name: DUANE READE NO 14503
  • Facility Address: 711 3RD AVE
    NEW YORK, NY
    ZIP 10017
  • Facility Phone: 212 599-4351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1619993813
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293565
LAB Type Pharmacy
Facility Name DUANE READE NO 14503
Street 711 3RD AVE
City NEW YORK
State NY
ZIP 10017
Phone 212 599-4351
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