20D2199679 CLIA NUMBER - WALGREENS #19502

Laboratory Demographics

  • CLIA Code: 20D2199679
  • Facility Name: WALGREENS #19502
  • Facility Address: 137 NORTH ST
    HOULTON, ME
    ZIP 04730
  • Facility Phone: 207 532-6876
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANNE R. MCCARTHY
  • NPI Number: 1225553282
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199679
LAB Type Pharmacy
Facility Name WALGREENS #19502
Street 137 NORTH ST
City HOULTON
State ME
ZIP 04730
Phone 207 532-6876
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 LEANNE R. MCCARTHY

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