33D2294492 CLIA NUMBER - WALGREENS NO 01487

Laboratory Demographics

  • CLIA Code: 33D2294492
  • Facility Name: WALGREENS NO 01487
  • Facility Address: 10425 QUEENS BLVD
    FOREST HILLS, NY
    ZIP 11375
  • Facility Phone: 718 896-7901
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1932114014
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294492
LAB Type Pharmacy
Facility Name WALGREENS NO 01487
Street 10425 QUEENS BLVD
City FOREST HILLS
State NY
ZIP 11375
Phone 718 896-7901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
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