33D2293890 CLIA NUMBER - WALGREENS NO 18412

Laboratory Demographics

  • CLIA Code: 33D2293890
  • Facility Name: WALGREENS NO 18412
  • Facility Address: 96-02 ROCKAWAY BLVD
    OZONE PARK, NY
    ZIP 11417
  • Facility Phone: 718 848-2334
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1225554439
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293890
LAB Type Pharmacy
Facility Name WALGREENS NO 18412
Street 96-02 ROCKAWAY BLVD
City OZONE PARK
State NY
ZIP 11417
Phone 718 848-2334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
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