Walgreens No. 03859
Director
							Zeiad A Fakhouri, M.D.
			Expiration Date
							Phone Number
							(716) 683-7971
			UID (Facility ID - Site ID)
							D217-0000
			Site ID
							0000
			City
							Depew
			CLIA Number
							33D2211200
			Street Address
							4815 Broadway
			State
							NY
			Zip Code
							14043
			County
							Erie
			Country
							United States
			Fax Number
							(716) 685-9486
			Primary Contact
							Danny Rodriguez
			Contact Phone Number
							(847) 282-2589
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Community Screening
							Influenza
							COVID-19 MOLECULAR
					Facility ID
							D217
			