33D2294945 CLIA NUMBER - DUANE READE NO 14390

Laboratory Demographics

  • CLIA Code: 33D2294945
  • Facility Name: DUANE READE NO 14390
  • Facility Address: 4702 5TH ST
    LONG ISLAND CITY, NY
    ZIP 11101
  • Facility Phone: 718 472-3600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1194741215
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2294945
LAB Type Pharmacy
Facility Name DUANE READE NO 14390
Street 4702 5TH ST
City LONG ISLAND CITY
State NY
ZIP 11101
Phone 718 472-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
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