Walgreens No 11778
Director
							Zeiad A Fakhouri, M.D.
			Expiration Date
							Phone Number
							(631) 278-2948
			UID (Facility ID - Site ID)
							D247-0000
			Site ID
							0000
			City
							Patchogue
			CLIA Number
							33D2212524
			Street Address
							286 W Main St
			State
							NY
			Zip Code
							11772
			County
							Suffolk
			Country
							United States
			Fax Number
							(631) 576-6147
			Primary Contact
							Danny Rodriguez
			Contact Phone Number
							(847) 282-2589
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Community Screening
							Influenza
					Facility ID
							D247
			