20D2184314 CLIA NUMBER - CITY DRUG STORE

Laboratory Demographics

  • CLIA Code: 20D2184314
  • Facility Name: CITY DRUG STORE
  • Facility Address: 159 ACADEMY STREET
    PRESQUE ISLE, ME
    ZIP 04769
  • Facility Phone: 207 764-4425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW D. TALBOT
  • NPI Number: 1043306939
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2184314
LAB Type Pharmacy
Facility Name CITY DRUG STORE
Street 159 ACADEMY STREET
City PRESQUE ISLE
State ME
ZIP 04769
Phone 207 764-4425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Pharmacy
Lab Director MATTHEW D. TALBOT

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