20D2199473 CLIA NUMBER - WALGREENS #19674

Laboratory Demographics

  • CLIA Code: 20D2199473
  • Facility Name: WALGREENS #19674
  • Facility Address: 36 CHINA ROAD
    WINSLOW, ME
    ZIP 04901
  • Facility Phone: 207 872-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAILESH K. DUVVURU
  • NPI Number: 1245756469
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199473
LAB Type Pharmacy
Facility Name WALGREENS #19674
Street 36 CHINA ROAD
City WINSLOW
State ME
ZIP 04901
Phone 207 872-2727
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 SAILESH K. DUVVURU

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