33D2294738 CLIA NUMBER - WALGREENS NO 19425

Laboratory Demographics

  • CLIA Code: 33D2294738
  • Facility Name: WALGREENS NO 19425
  • Facility Address: 19 23 UTOPIA PARKWAY
    WHITESTONE, NY
    ZIP 11357
  • Facility Phone: 718 767-4854
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1427575802
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294738
LAB Type Pharmacy
Facility Name WALGREENS NO 19425
Street 19 23 UTOPIA PARKWAY
City WHITESTONE
State NY
ZIP 11357
Phone 718 767-4854
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: 3/20/2025