33D2296182 CLIA NUMBER - WALGREENS NO 17227

Laboratory Demographics

  • CLIA Code: 33D2296182
  • Facility Name: WALGREENS NO 17227
  • Facility Address: 173 CHURCH ST
    SARANAC LAKE, NY
    ZIP 12983
  • Facility Phone: 518 891-6033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1972029700
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2296182
LAB Type Pharmacy
Facility Name WALGREENS NO 17227
Street 173 CHURCH ST
City SARANAC LAKE
State NY
ZIP 12983
Phone 518 891-6033
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

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