33D2295809 CLIA NUMBER - WALGREENS NO 19224

Laboratory Demographics

  • CLIA Code: 33D2295809
  • Facility Name: WALGREENS NO 19224
  • Facility Address: 25501 UNION TPK
    GLEN OAKS, NY
    ZIP 11004
  • Facility Phone: 718 470-6100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1669996625
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2295809
LAB Type Pharmacy
Facility Name WALGREENS NO 19224
Street 25501 UNION TPK
City GLEN OAKS
State NY
ZIP 11004
Phone 718 470-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
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