20D2199895 CLIA NUMBER - WALGREENS #19078

Home > CLIA Lookup > 20D2199895

Laboratory Demographics

CLIA Number: 20D2199895

Facility Name: WALGREENS #19078

Facility Address:
465 MAIN ST
WESTBROOK, ME
ZIP 04092
Get Directions

Facility Phone Number: 207 854-9103

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912422239

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	20D2199895
LAB Type	Pharmacy
Facility Name	WALGREENS #19078
Street	465 MAIN ST
City	WESTBROOK
State	ME
ZIP	04092
Phone	207 854-9103
CertificateType	4
CertificateEffectiveDate	11/12/2022
CertificateExpirationDate	11/11/2024
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