33D2294518 CLIA NUMBER - WALGREENS NO 04058

Laboratory Demographics

  • CLIA Code: 33D2294518
  • Facility Name: WALGREENS NO 04058
  • Facility Address: 9312 ASTORIA BLVD
    EAST ELMHURST, NY
    ZIP 11369
  • Facility Phone: 718 426-3455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1093720146
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294518
LAB Type Pharmacy
Facility Name WALGREENS NO 04058
Street 9312 ASTORIA BLVD
City EAST ELMHURST
State NY
ZIP 11369
Phone 718 426-3455
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