33D2293919 CLIA NUMBER - WALGREENS NO 17317

Laboratory Demographics

  • CLIA Code: 33D2293919
  • Facility Name: WALGREENS NO 17317
  • Facility Address: 236 MAIN ST
    NEW PALTZ, NY
    ZIP 12561
  • Facility Phone: 845 255-9210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1942726799
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293919
LAB Type Pharmacy
Facility Name WALGREENS NO 17317
Street 236 MAIN ST
City NEW PALTZ
State NY
ZIP 12561
Phone 845 255-9210
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