20D2156761 CLIA NUMBER - WALMART PHARMACY #10-2013

Laboratory Demographics

  • CLIA Code: 20D2156761
  • Facility Name: WALMART PHARMACY #10-2013
  • Facility Address: 80 WATERVILLE COMMONS DR
    WATERVILLE, ME
    ZIP 04901
  • Facility Phone: 207 877-9161
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH E. KILLIP
  • NPI Number: 1285651554
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2156761
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2013
Street 80 WATERVILLE COMMONS DR
City WATERVILLE
State ME
ZIP 04901
Phone 207 877-9161
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 SARAH E. KILLIP

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