33D2296188 CLIA NUMBER - WALGREENS NO 19715

Laboratory Demographics

  • CLIA Code: 33D2296188
  • Facility Name: WALGREENS NO 19715
  • Facility Address: 58 GENESEE STREET
    GREENE, NY
    ZIP 13778
  • Facility Phone: 607 656-4585
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1699290031
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2296188
LAB Type Pharmacy
Facility Name WALGREENS NO 19715
Street 58 GENESEE STREET
City GREENE
State NY
ZIP 13778
Phone 607 656-4585
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