33D2293593 CLIA NUMBER - WALGREENS NO 18215

Laboratory Demographics

  • CLIA Code: 33D2293593
  • Facility Name: WALGREENS NO 18215
  • Facility Address: 49 WEST FORDHAM ROAD
    BRONX, NY
    ZIP 10468
  • Facility Phone: 718 733-3808
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1699291955
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293593
LAB Type Pharmacy
Facility Name WALGREENS NO 18215
Street 49 WEST FORDHAM ROAD
City BRONX
State NY
ZIP 10468
Phone 718 733-3808
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: 3/20/2025