33D2296125 CLIA NUMBER - WALGREENS NO 11984

Laboratory Demographics

  • CLIA Code: 33D2296125
  • Facility Name: WALGREENS NO 11984
  • Facility Address: 3242 ROUTE 39
    YORKSHIRE, NY
    ZIP 14173
  • Facility Phone: 716 492-0176
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1376746107
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2296125
LAB Type Pharmacy
Facility Name WALGREENS NO 11984
Street 3242 ROUTE 39
City YORKSHIRE
State NY
ZIP 14173
Phone 716 492-0176
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: 9/29/2025