20D2156788 CLIA NUMBER - WALMART PHARMACY #10-2143

Laboratory Demographics

  • CLIA Code: 20D2156788
  • Facility Name: WALMART PHARMACY #10-2143
  • Facility Address: 60 FAIRGROUNDS MKT PL
    SKOWHEGAN, ME
    ZIP 04976
  • Facility Phone: (207) 474-3013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBIN NICOL RPH

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CLIA Record

Field Name Field Value
CLIA Number 20D2156788
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2143
Street 60 FAIRGROUNDS MKT PL
City SKOWHEGAN
State ME
ZIP 04976
Phone 2074743013
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 ROBIN NICOL RPH

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