33D2309796 CLIA NUMBER - WALGREENS NO 19349

Laboratory Demographics

  • CLIA Code: 33D2309796
  • Facility Name: WALGREENS NO 19349
  • Facility Address: 602 NOTTINGHAM RD
    SYRACUSE, NY
    ZIP 13224
  • Facility Phone: 315 446-4820
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD A. FAKHOURI
  • NPI Number: 1447774385
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2309796
LAB Type Pharmacy
Facility Name WALGREENS NO 19349
Street 602 NOTTINGHAM RD
City SYRACUSE
State NY
ZIP 13224
Phone 315 446-4820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
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