20D2199633 CLIA NUMBER - WALGREENS #17523

Laboratory Demographics

  • CLIA Code: 20D2199633
  • Facility Name: WALGREENS #17523
  • Facility Address: 35 ELM ST
    CAMDEN, ME
    ZIP 04843
  • Facility Phone: 207 236-4546
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER P. KELLER
  • NPI Number: 1629594155
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199633
LAB Type Pharmacy
Facility Name WALGREENS #17523
Street 35 ELM ST
City CAMDEN
State ME
ZIP 04843
Phone 207 236-4546
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 CHRISTOPHER P. KELLER

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