33D2293596 CLIA NUMBER - WALGREENS NO 17926

Laboratory Demographics

  • CLIA Code: 33D2293596
  • Facility Name: WALGREENS NO 17926
  • Facility Address: 4232 BAYCHESTER AVENUE
    BRONX, NY
    ZIP 10466
  • Facility Phone: 718 325-3100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1154844926
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293596
LAB Type Pharmacy
Facility Name WALGREENS NO 17926
Street 4232 BAYCHESTER AVENUE
City BRONX
State NY
ZIP 10466
Phone 718 325-3100
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