20D2156789 CLIA NUMBER - WALMART PHARMACY #10-2183

Laboratory Demographics

  • CLIA Code: 20D2156789
  • Facility Name: WALMART PHARMACY #10-2183
  • Facility Address: 1240 MAIN ST
    OXFORD, ME
    ZIP 04270
  • Facility Phone: 207 743-5466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER J. HARNDEN
  • NPI Number: 1578581088
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2156789
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2183
Street 1240 MAIN ST
City OXFORD
State ME
ZIP 04270
Phone 207 743-5466
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 HEATHER J. HARNDEN

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