20D2199504 CLIA NUMBER - WALGREENS #19796

Laboratory Demographics

  • CLIA Code: 20D2199504
  • Facility Name: WALGREENS #19796
  • Facility Address: 400 US ROUTE 1
    YORK, ME
    ZIP 03909
  • Facility Phone: 207 363-4312
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANOHAR S. PINTO
  • NPI Number: 1902320187
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199504
LAB Type Pharmacy
Facility Name WALGREENS #19796
Street 400 US ROUTE 1
City YORK
State ME
ZIP 03909
Phone 207 363-4312
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 MANOHAR S. PINTO

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