33D2294020 CLIA NUMBER - WALGREENS NO 07321

Laboratory Demographics

  • CLIA Code: 33D2294020
  • Facility Name: WALGREENS NO 07321
  • Facility Address: 1227 FOREST AVE
    STATEN ISLAND, NY
    ZIP 10310
  • Facility Phone: 718 448-6488
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1962417030
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294020
LAB Type Pharmacy
Facility Name WALGREENS NO 07321
Street 1227 FOREST AVE
City STATEN ISLAND
State NY
ZIP 10310
Phone 718 448-6488
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