20D2156781 CLIA NUMBER - WALMART PHARMACY 10-1954

Laboratory Demographics

  • CLIA Code: 20D2156781
  • Facility Name: WALMART PHARMACY 10-1954
  • Facility Address: 1930 MAIN STREET
    SANFORD, ME
    ZIP 04073
  • Facility Phone: 207 490-2069
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA W. ROBERTS
  • NPI Number: 1558388827
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D2156781
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1954
Street 1930 MAIN STREET
City SANFORD
State ME
ZIP 04073
Phone 207 490-2069
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 AMANDA W. ROBERTS

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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