33D2294023 CLIA NUMBER - WALGREENS NO 10475

Laboratory Demographics

  • CLIA Code: 33D2294023
  • Facility Name: WALGREENS NO 10475
  • Facility Address: 2270 CLOVE RD
    STATEN ISLAND, NY
    ZIP 10305
  • Facility Phone: 718 447-6295
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1154553899
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294023
LAB Type Pharmacy
Facility Name WALGREENS NO 10475
Street 2270 CLOVE RD
City STATEN ISLAND
State NY
ZIP 10305
Phone 718 447-6295
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