33D2294012 CLIA NUMBER - WALGREENS NO 05051

Laboratory Demographics

  • CLIA Code: 33D2294012
  • Facility Name: WALGREENS NO 05051
  • Facility Address: 21914 MERRICK BLVD
    SPRINGFIELD GARDENS, NY
    ZIP 11413
  • Facility Phone: 718 712-7895
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1184639239
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294012
LAB Type Pharmacy
Facility Name WALGREENS NO 05051
Street 21914 MERRICK BLVD
City SPRINGFIELD GARDENS
State NY
ZIP 11413
Phone 718 712-7895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
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