33D2294179 CLIA NUMBER - WALGREENS NO 07057

Laboratory Demographics

  • CLIA Code: 33D2294179
  • Facility Name: WALGREENS NO 07057
  • Facility Address: 730 FRANKLIN AVE
    FRANKLIN SQUARE, NY
    ZIP 11010
  • Facility Phone: 516 568-9104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1972518041
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294179
LAB Type Pharmacy
Facility Name WALGREENS NO 07057
Street 730 FRANKLIN AVE
City FRANKLIN SQUARE
State NY
ZIP 11010
Phone 516 568-9104
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: 9/29/2025