33D2294721 CLIA NUMBER - DUANE READE NO 14314

Laboratory Demographics

  • CLIA Code: 33D2294721
  • Facility Name: DUANE READE NO 14314
  • Facility Address: 5411 MYRTLE AVE
    RIDGEWOOD, NY
    ZIP 11385
  • Facility Phone: (718) 386-6692
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1881619351
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294721
LAB Type Pharmacy
Facility Name DUANE READE NO 14314
Street 5411 MYRTLE AVE
City RIDGEWOOD
State NY
ZIP 11385
Phone 7183866692
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: 5/18/2026