33D2295813 CLIA NUMBER - WALGREENS NO 17680

Laboratory Demographics

  • CLIA Code: 33D2295813
  • Facility Name: WALGREENS NO 17680
  • Facility Address: 16040 CROSS BAY BOULEVARD
    HOWARD BEACH, NY
    ZIP 11414
  • Facility Phone: 718 845-1066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1306369186
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2295813
LAB Type Pharmacy
Facility Name WALGREENS NO 17680
Street 16040 CROSS BAY BOULEVARD
City HOWARD BEACH
State NY
ZIP 11414
Phone 718 845-1066
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