33D2294054 CLIA NUMBER - WALGREENS NO 19764

Laboratory Demographics

  • CLIA Code: 33D2294054
  • Facility Name: WALGREENS NO 19764
  • Facility Address: 22 MAIN ST
    HOOSICK FALLS, NY
    ZIP 12090
  • Facility Phone: 518 686-5831
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1811412257
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294054
LAB Type Pharmacy
Facility Name WALGREENS NO 19764
Street 22 MAIN ST
City HOOSICK FALLS
State NY
ZIP 12090
Phone 518 686-5831
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