33D2294744 CLIA NUMBER - WALGREENS NO 17499

Laboratory Demographics

  • CLIA Code: 33D2294744
  • Facility Name: WALGREENS NO 17499
  • Facility Address: 691 CO-OP CITY BOULEVARD
    BRONX, NY
    ZIP 10475
  • Facility Phone: 718 862-2847
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1407379431
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294744
LAB Type Pharmacy
Facility Name WALGREENS NO 17499
Street 691 CO-OP CITY BOULEVARD
City BRONX
State NY
ZIP 10475
Phone 718 862-2847
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