20D2156797 CLIA NUMBER - WALMART

Laboratory Demographics

  • CLIA Code: 20D2156797
  • Facility Name: WALMART
  • Facility Address: 24 WALTON DR
    BREWER, ME
    ZIP 04412
  • Facility Phone: 207 989-6174
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA J. CRAIG
  • NPI Number: 1275550543
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2156797
LAB Type Pharmacy
Facility Name WALMART
Street 24 WALTON DR
City BREWER
State ME
ZIP 04412
Phone 207 989-6174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Pharmacy
Lab Director AMANDA J. CRAIG

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