33D2294192 CLIA NUMBER - WALGREENS NO 17701

Laboratory Demographics

  • CLIA Code: 33D2294192
  • Facility Name: WALGREENS NO 17701
  • Facility Address: 325 ROUTE 110
    HUNTINGTON STATION, NY
    ZIP 11746
  • Facility Phone: 631 271-2525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1194242834
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294192
LAB Type Pharmacy
Facility Name WALGREENS NO 17701
Street 325 ROUTE 110
City HUNTINGTON STATION
State NY
ZIP 11746
Phone 631 271-2525
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