33D2295843 CLIA NUMBER - WALGREENS NO 04445

Laboratory Demographics

  • CLIA Code: 33D2295843
  • Facility Name: WALGREENS NO 04445
  • Facility Address: 11902 ROCKAWAY BLVD
    SOUTH OZONE PARK, NY
    ZIP 11420
  • Facility Phone: 718 529-9503
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1639184781
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2295843
LAB Type Pharmacy
Facility Name WALGREENS NO 04445
Street 11902 ROCKAWAY BLVD
City SOUTH OZONE PARK
State NY
ZIP 11420
Phone 718 529-9503
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