20D2199449 CLIA NUMBER - WALGREENS #19304

Laboratory Demographics

  • CLIA Code: 20D2199449
  • Facility Name: WALGREENS #19304
  • Facility Address: 429 MAIN STREET
    MADAWASKA, ME
    ZIP 04756
  • Facility Phone: 207 728-3815
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WENDY D. CHEEK
  • NPI Number: 1548785827
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199449
LAB Type Pharmacy
Facility Name WALGREENS #19304
Street 429 MAIN STREET
City MADAWASKA
State ME
ZIP 04756
Phone 207 728-3815
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 WENDY D. CHEEK

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