33D2293897 CLIA NUMBER - WALGREENS NO 19087

Laboratory Demographics

  • CLIA Code: 33D2293897
  • Facility Name: WALGREENS NO 19087
  • Facility Address: 100 EAST MAIN STREET
    ENDICOTT, NY
    ZIP 13760
  • Facility Phone: (607) 754-4594
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1083138713
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293897
LAB Type Pharmacy
Facility Name WALGREENS NO 19087
Street 100 EAST MAIN STREET
City ENDICOTT
State NY
ZIP 13760
Phone 6077544594
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: 5/15/2026