33D2293948 CLIA NUMBER - DUANE READE NO 14369

Laboratory Demographics

  • CLIA Code: 33D2293948
  • Facility Name: DUANE READE NO 14369
  • Facility Address: 1490 MADISON AVE
    NEW YORK, NY
    ZIP 10029
  • Facility Phone: 212 410-2508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1952327074
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2293948
LAB Type Pharmacy
Facility Name DUANE READE NO 14369
Street 1490 MADISON AVE
City NEW YORK
State NY
ZIP 10029
Phone 212 410-2508
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