20D2199880 CLIA NUMBER - WALGREENS #19188

Laboratory Demographics

  • CLIA Code: 20D2199880
  • Facility Name: WALGREENS #19188
  • Facility Address: 77 MALLET DR
    TOPSHAM, ME
    ZIP 04086
  • Facility Phone: 207 729-0806
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIKA L. NEWMAN
  • NPI Number: 1962927293
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2199880
LAB Type Pharmacy
Facility Name WALGREENS #19188
Street 77 MALLET DR
City TOPSHAM
State ME
ZIP 04086
Phone 207 729-0806
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 ERIKA L. NEWMAN

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This page was last updated on: 6/4/2025