33D2294066 CLIA NUMBER - WALGREENS NO 17344

Laboratory Demographics

  • CLIA Code: 33D2294066
  • Facility Name: WALGREENS NO 17344
  • Facility Address: 4175 STATE ROUTE 417
    WELLSVILLE, NY
    ZIP 14895
  • Facility Phone: 585 593-1232
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1619491552
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294066
LAB Type Pharmacy
Facility Name WALGREENS NO 17344
Street 4175 STATE ROUTE 417
City WELLSVILLE
State NY
ZIP 14895
Phone 585 593-1232
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: 6/4/2025