33D2293579 CLIA NUMBER - WALGREENS NO 15104

Laboratory Demographics

  • CLIA Code: 33D2293579
  • Facility Name: WALGREENS NO 15104
  • Facility Address: 1333 BOSTON POST RD
    LARCHMONT, NY
    ZIP 10538
  • Facility Phone: 914 834-0954
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1285074211
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293579
LAB Type Pharmacy
Facility Name WALGREENS NO 15104
Street 1333 BOSTON POST RD
City LARCHMONT
State NY
ZIP 10538
Phone 914 834-0954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
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