33D2296100 CLIA NUMBER - WALGREENS NO 05955

Laboratory Demographics

  • CLIA Code: 33D2296100
  • Facility Name: WALGREENS NO 05955
  • Facility Address: 2282 JERICHO TPKE
    GARDEN CITY PARK, NY
    ZIP 11040
  • Facility Phone: 516 746-4289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1144235219
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2296100
LAB Type Pharmacy
Facility Name WALGREENS NO 05955
Street 2282 JERICHO TPKE
City GARDEN CITY PARK
State NY
ZIP 11040
Phone 516 746-4289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
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: 6/4/2025