20D2156787 CLIA NUMBER - WALMART PHARMACY 10-2046

Laboratory Demographics

  • CLIA Code: 20D2156787
  • Facility Name: WALMART PHARMACY 10-2046
  • Facility Address: 201 CIVIC CENTER DR
    AUGUSTA, ME
    ZIP 04330
  • Facility Phone: (207) 623-2554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA WURGLER

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CLIA Record

Field Name Field Value
CLIA Number 20D2156787
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2046
Street 201 CIVIC CENTER DR
City AUGUSTA
State ME
ZIP 04330
Phone 2076232554
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 WURGLER

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This page was last updated on: 5/18/2026