33D2296882 CLIA NUMBER - DUANE READE NO 14104

Laboratory Demographics

  • CLIA Code: 33D2296882
  • Facility Name: DUANE READE NO 14104
  • Facility Address: 401 PARK AVE S
    NEW YORK, NY
    ZIP 10016
  • Facility Phone: 212 213-9730
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1457377574
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2296882
LAB Type Pharmacy
Facility Name DUANE READE NO 14104
Street 401 PARK AVE S
City NEW YORK
State NY
ZIP 10016
Phone 212 213-9730
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