33D2294682 CLIA NUMBER - WALGREENS NO 19994

Laboratory Demographics

  • CLIA Code: 33D2294682
  • Facility Name: WALGREENS NO 19994
  • Facility Address: 1040 SAINT JOHNS PL
    BROOKLYN, NY
    ZIP 11213
  • Facility Phone: 718 953-7150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1790200566
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294682
LAB Type Pharmacy
Facility Name WALGREENS NO 19994
Street 1040 SAINT JOHNS PL
City BROOKLYN
State NY
ZIP 11213
Phone 718 953-7150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
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