33D2296872 CLIA NUMBER - DUANE READE NO 14417

Laboratory Demographics

  • CLIA Code: 33D2296872
  • Facility Name: DUANE READE NO 14417
  • Facility Address: 568 W 125TH ST
    NEW YORK, NY
    ZIP 10027
  • Facility Phone: 212 865-3894
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1295975191
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2296872
LAB Type Pharmacy
Facility Name DUANE READE NO 14417
Street 568 W 125TH ST
City NEW YORK
State NY
ZIP 10027
Phone 212 865-3894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
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