20D2187947 CLIA NUMBER - HEBERT REXALL PHARMACY

Laboratory Demographics

  • CLIA Code: 20D2187947
  • Facility Name: HEBERT REXALL PHARMACY
  • Facility Address: 31 MAIN STREET
    VAN BUREN, ME
    ZIP 04785
  • Facility Phone: 207 868-2242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN HEBERT
  • NPI Number: 1154992980
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2187947
LAB Type Pharmacy
Facility Name HEBERT REXALL PHARMACY
Street 31 MAIN STREET
City VAN BUREN
State ME
ZIP 04785
Phone 207 868-2242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Pharmacy
Lab Director JOHN HEBERT

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