33D2295841 CLIA NUMBER - WALGREENS NO 02055

Laboratory Demographics

  • CLIA Code: 33D2295841
  • Facility Name: WALGREENS NO 02055
  • Facility Address: 10962 FRANCIS LEWIS BLVD
    QUEENS VILLAGE, NY
    ZIP 11429
  • Facility Phone: 718 740-4612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1104831288
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2295841
LAB Type Pharmacy
Facility Name WALGREENS NO 02055
Street 10962 FRANCIS LEWIS BLVD
City QUEENS VILLAGE
State NY
ZIP 11429
Phone 718 740-4612
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