33D2293625 CLIA NUMBER - WALGREENS NO 18150

Laboratory Demographics

  • CLIA Code: 33D2293625
  • Facility Name: WALGREENS NO 18150
  • Facility Address: 2102 MONTAUK HWY STE 86
    BRIDGEHAMPTON, NY
    ZIP 11932
  • Facility Phone: 631 537-0235
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1316461759
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293625
LAB Type Pharmacy
Facility Name WALGREENS NO 18150
Street 2102 MONTAUK HWY STE 86
City BRIDGEHAMPTON
State NY
ZIP 11932
Phone 631 537-0235
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