33D2294029 CLIA NUMBER - WALGREENS NO 01214

Laboratory Demographics

  • CLIA Code: 33D2294029
  • Facility Name: WALGREENS NO 01214
  • Facility Address: 1328 2ND AVE
    NEW YORK, NY
    ZIP 10021
  • Facility Phone: 212 734-6076
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1306851472
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294029
LAB Type Pharmacy
Facility Name WALGREENS NO 01214
Street 1328 2ND AVE
City NEW YORK
State NY
ZIP 10021
Phone 212 734-6076
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: 3/20/2025