20D2156884 CLIA NUMBER - WALMART PHARMACY 10-3269

Laboratory Demographics

  • CLIA Code: 20D2156884
  • Facility Name: WALMART PHARMACY 10-3269
  • Facility Address: 258 RIVER RD
    MEXICO, ME
    ZIP 04257
  • Facility Phone: (207) 364-2993
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSANDRA J. CHASSE

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CLIA Record

Field Name Field Value
CLIA Number 20D2156884
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3269
Street 258 RIVER RD
City MEXICO
State ME
ZIP 04257
Phone 2073642993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Pharmacy
Lab Director CASSANDRA J. CHASSE

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