33D2294019 CLIA NUMBER - WALGREENS NO 07776

Laboratory Demographics

  • CLIA Code: 33D2294019
  • Facility Name: WALGREENS NO 07776
  • Facility Address: 1759 HYLAN BLVD
    STATEN ISLAND, NY
    ZIP 10305
  • Facility Phone: 718 351-2039
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1093985079
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294019
LAB Type Pharmacy
Facility Name WALGREENS NO 07776
Street 1759 HYLAN BLVD
City STATEN ISLAND
State NY
ZIP 10305
Phone 718 351-2039
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