20D2199879 CLIA NUMBER - WALGREENS #18004

Laboratory Demographics

  • CLIA Code: 20D2199879
  • Facility Name: WALGREENS #18004
  • Facility Address: 461 MAIN STREET
    SACO, ME
    ZIP 04072
  • Facility Phone: 207 284-4363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH G. CLARK
  • NPI Number: 1699290098
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199879
LAB Type Pharmacy
Facility Name WALGREENS #18004
Street 461 MAIN STREET
City SACO
State ME
ZIP 04072
Phone 207 284-4363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Pharmacy
Lab Director ELIZABETH G. CLARK

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