20D2199391 CLIA NUMBER - WALGREENS #19359

Laboratory Demographics

  • CLIA Code: 20D2199391
  • Facility Name: WALGREENS #19359
  • Facility Address: 2007 N BELFAST AVE
    AUGUSTA, ME
    ZIP 04330
  • Facility Phone: 207 622-2626
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LILY M. BEAUREGARD
  • NPI Number: 1558887950
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199391
LAB Type Pharmacy
Facility Name WALGREENS #19359
Street 2007 N BELFAST AVE
City AUGUSTA
State ME
ZIP 04330
Phone 207 622-2626
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 LILY M. BEAUREGARD

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