33D2296180 CLIA NUMBER - WALGREENS NO 19736

Laboratory Demographics

  • CLIA Code: 33D2296180
  • Facility Name: WALGREENS NO 19736
  • Facility Address: 5651 WHISKEY HILL ROAD
    WOLCOTT, NY
    ZIP 14590
  • Facility Phone: 315 594-2987
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1952825291
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2296180
LAB Type Pharmacy
Facility Name WALGREENS NO 19736
Street 5651 WHISKEY HILL ROAD
City WOLCOTT
State NY
ZIP 14590
Phone 315 594-2987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ZEIAD A. FAKHOURI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025