20D2156744 CLIA NUMBER - WALMART PHARMACY #10-1868

Laboratory Demographics

  • CLIA Code: 20D2156744
  • Facility Name: WALMART PHARMACY #10-1868
  • Facility Address: 100 MOUNT AUBURN AVE
    AUBURN, ME
    ZIP 04210
  • Facility Phone: 207 784-1244
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA WIERS PHARM D
  • NPI Number: 1912924283
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2156744
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1868
Street 100 MOUNT AUBURN AVE
City AUBURN
State ME
ZIP 04210
Phone 207 784-1244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Pharmacy
Lab Director JESSICA WIERS PHARM D

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This page was last updated on: 9/29/2025