33D2294369 CLIA NUMBER - DUANE READE NO 14145

Laboratory Demographics

  • CLIA Code: 33D2294369
  • Facility Name: DUANE READE NO 14145
  • Facility Address: 1191 2ND AVE
    NEW YORK, NY
    ZIP 10065
  • Facility Phone: 212 355-5944
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1942226071
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294369
LAB Type Pharmacy
Facility Name DUANE READE NO 14145
Street 1191 2ND AVE
City NEW YORK
State NY
ZIP 10065
Phone 212 355-5944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
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