20D2199412 CLIA NUMBER - WALGREENS #19253

Laboratory Demographics

  • CLIA Code: 20D2199412
  • Facility Name: WALGREENS #19253
  • Facility Address: 35 PARK STREET
    MILO, ME
    ZIP 04463
  • Facility Phone: 207 943-8570
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR R. WILLIAMS
  • NPI Number: 1053836320
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199412
LAB Type Pharmacy
Facility Name WALGREENS #19253
Street 35 PARK STREET
City MILO
State ME
ZIP 04463
Phone 207 943-8570
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 TAYLOR R. WILLIAMS

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