20D2156757 CLIA NUMBER - WALMART PHARMACY #10-1797

Laboratory Demographics

  • CLIA Code: 20D2156757
  • Facility Name: WALMART PHARMACY #10-1797
  • Facility Address: 55 THOMASTON COMMONS WAY
    THOMASTON, ME
    ZIP 04861
  • Facility Phone: 207 596-1060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDA M. PEARSE
  • NPI Number: 1194742460
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2156757
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1797
Street 55 THOMASTON COMMONS WAY
City THOMASTON
State ME
ZIP 04861
Phone 207 596-1060
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 LINDA M. PEARSE

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