33D2296184 CLIA NUMBER - WALGREENS NO 17501

Laboratory Demographics

  • CLIA Code: 33D2296184
  • Facility Name: WALGREENS NO 17501
  • Facility Address: 343 PULTENEY ST
    CORNING, NY
    ZIP 14830
  • Facility Phone: 607 937-5374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1770009458
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2296184
LAB Type Pharmacy
Facility Name WALGREENS NO 17501
Street 343 PULTENEY ST
City CORNING
State NY
ZIP 14830
Phone 607 937-5374
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