20D2198987 CLIA NUMBER - WALGREENS #17989

Laboratory Demographics

  • CLIA Code: 20D2198987
  • Facility Name: WALGREENS #17989
  • Facility Address: 151 EAST MAIN STREET
    DOVER FOXCROFT, ME
    ZIP 04426
  • Facility Phone: 207 564-9011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMICA A. DAY
  • NPI Number: 1578088068
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2198987
LAB Type Pharmacy
Facility Name WALGREENS #17989
Street 151 EAST MAIN STREET
City DOVER FOXCROFT
State ME
ZIP 04426
Phone 207 564-9011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Pharmacy
Lab Director TAMICA A. DAY

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