20D2199658 CLIA NUMBER - WALGREENS #19251

Home > CLIA Lookup > 20D2199658

Laboratory Demographics

CLIA Number: 20D2199658

Facility Name: WALGREENS #19251

Facility Address:
151 MAPLE ST
CORNISH, ME
ZIP 04020
Get Directions

Facility Phone Number: 207 625-8494

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912422288

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	20D2199658
LAB Type	Pharmacy
Facility Name	WALGREENS #19251
Street	151 MAPLE ST
City	CORNISH
State	ME
ZIP	04020
Phone	207 625-8494
CertificateType	4
CertificateEffectiveDate	11/10/2022
CertificateExpirationDate	11/9/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024