33D2293896 CLIA NUMBER - WALGREENS NO 19061

Laboratory Demographics

  • CLIA Code: 33D2293896
  • Facility Name: WALGREENS NO 19061
  • Facility Address: 3852 MAIN STREET
    STONE RIDGE, NY
    ZIP 12484
  • Facility Phone: 845 687-7766
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1902322118
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293896
LAB Type Pharmacy
Facility Name WALGREENS NO 19061
Street 3852 MAIN STREET
City STONE RIDGE
State NY
ZIP 12484
Phone 845 687-7766
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: 3/20/2025