33D2294147 CLIA NUMBER - WALGREENS NO 19889

Laboratory Demographics

  • CLIA Code: 33D2294147
  • Facility Name: WALGREENS NO 19889
  • Facility Address: 32 EAST 170TH STREET
    BRONX, NY
    ZIP 10452
  • Facility Phone: (718) 588-6825
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1396261657
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294147
LAB Type Pharmacy
Facility Name WALGREENS NO 19889
Street 32 EAST 170TH STREET
City BRONX
State NY
ZIP 10452
Phone 7185886825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
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: 5/18/2026