33D2293585 CLIA NUMBER - WALGREENS NO 10135

Laboratory Demographics

  • CLIA Code: 33D2293585
  • Facility Name: WALGREENS NO 10135
  • Facility Address: 298 IST AVE
    NEW YORK, NY
    ZIP 10009
  • Facility Phone: 212 777-0740
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1558475129
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293585
LAB Type Pharmacy
Facility Name WALGREENS NO 10135
Street 298 IST AVE
City NEW YORK
State NY
ZIP 10009
Phone 212 777-0740
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