20D2199695 CLIA NUMBER - WALGREENS #10077

Laboratory Demographics

  • CLIA Code: 20D2199695
  • Facility Name: WALGREENS #10077
  • Facility Address: 11 STATE RD
    BATH, ME
    ZIP 04530
  • Facility Phone: 207 443-1786
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA MARASS
  • NPI Number: 1689860777
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199695
LAB Type Pharmacy
Facility Name WALGREENS #10077
Street 11 STATE RD
City BATH
State ME
ZIP 04530
Phone 207 443-1786
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 LAURA MARASS

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