33D2294183 CLIA NUMBER - WALGREENS NO 03290

Laboratory Demographics

  • CLIA Code: 33D2294183
  • Facility Name: WALGREENS NO 03290
  • Facility Address: 1556 HERTEL AVE
    BUFFALO, NY
    ZIP 14216
  • Facility Phone: 716 834-2820
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1467467514
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294183
LAB Type Pharmacy
Facility Name WALGREENS NO 03290
Street 1556 HERTEL AVE
City BUFFALO
State NY
ZIP 14216
Phone 716 834-2820
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