20D2199596 CLIA NUMBER - WALGREENS #17332

Laboratory Demographics

  • CLIA Code: 20D2199596
  • Facility Name: WALGREENS #17332
  • Facility Address: 420 SOMERSET AVE
    PITTSFIELD, ME
    ZIP 04967
  • Facility Phone: 207 487-5467
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MESLISSA L. CANTAFIO
  • NPI Number: 1437673159
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D2199596
LAB Type Pharmacy
Facility Name WALGREENS #17332
Street 420 SOMERSET AVE
City PITTSFIELD
State ME
ZIP 04967
Phone 207 487-5467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Pharmacy
Lab Director MESLISSA L. CANTAFIO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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