33D2295832 CLIA NUMBER - WALGREENS NO 17681

Laboratory Demographics

  • CLIA Code: 33D2295832
  • Facility Name: WALGREENS NO 17681
  • Facility Address: 45-02 43RD AVENUE
    SUNNYSIDE, NY
    ZIP 11104
  • Facility Phone: 718 433-0941
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1841713815
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2295832
LAB Type Pharmacy
Facility Name WALGREENS NO 17681
Street 45-02 43RD AVENUE
City SUNNYSIDE
State NY
ZIP 11104
Phone 718 433-0941
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