20D2188389 CLIA NUMBER - FAIRFIELD PHARMACY

Laboratory Demographics

  • CLIA Code: 20D2188389
  • Facility Name: FAIRFIELD PHARMACY
  • Facility Address: 66 WESTERN AVENUE
    FAIRFIELD, ME
    ZIP 04937
  • Facility Phone: 207 453-4411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANE SAVAGE
  • NPI Number: 1245229749
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 20D2188389
LAB Type Pharmacy
Facility Name FAIRFIELD PHARMACY
Street 66 WESTERN AVENUE
City FAIRFIELD
State ME
ZIP 04937
Phone 207 453-4411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Pharmacy
Lab Director SHANE SAVAGE

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