20D2199382 CLIA NUMBER - WALGREENS #18414

Laboratory Demographics

  • CLIA Code: 20D2199382
  • Facility Name: WALGREENS #18414
  • Facility Address: 81 MAIN STREET
    LIVERMORE FALLS, ME
    ZIP 04254
  • Facility Phone: 207 897-6781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH M. KONCHALSKI
  • NPI Number: 1902321219
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D2199382
LAB Type Pharmacy
Facility Name WALGREENS #18414
Street 81 MAIN STREET
City LIVERMORE FALLS
State ME
ZIP 04254
Phone 207 897-6781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Pharmacy
Lab Director SARAH M. KONCHALSKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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