Healther Providers Data Logo

20D2156749 CLIA NUMBER - WALMART PHARMACY #10-1919

Laboratory Demographics

CLIA Number: 20D2156749

Facility Name: WALMART PHARMACY #10-1919

Facility Address:
250 WEST BROADWAY
LINCOLN, ME
ZIP 04457
Get Directions

Facility Phone Number: 207 794-2055

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1245258755

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 20D2156749
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1919
Street 250 WEST BROADWAY
City LINCOLN
State ME
ZIP 04457
Phone 207 794-2055
CertificateType 4
CertificateEffectiveDate 10/24/2022
CertificateExpirationDate 10/23/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024