33D2293916 CLIA NUMBER - WALGREENS NO 17154

Laboratory Demographics

  • CLIA Code: 33D2293916
  • Facility Name: WALGREENS NO 17154
  • Facility Address: 284 MAIN ST
    NORTH CREEK, NY
    ZIP 12853
  • Facility Phone: 518 251-3777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1972020634
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293916
LAB Type Pharmacy
Facility Name WALGREENS NO 17154
Street 284 MAIN ST
City NORTH CREEK
State NY
ZIP 12853
Phone 518 251-3777
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