20D2200352 CLIA NUMBER - WALGREENS #11416

Laboratory Demographics

  • CLIA Code: 20D2200352
  • Facility Name: WALGREENS #11416
  • Facility Address: 53 PARIS ST
    NORWAY, ME
    ZIP 04268
  • Facility Phone: 207 744-0712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN M. HARRISON
  • NPI Number: 1538328026
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D2200352
LAB Type Pharmacy
Facility Name WALGREENS #11416
Street 53 PARIS ST
City NORWAY
State ME
ZIP 04268
Phone 207 744-0712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Pharmacy
Lab Director KEVIN M. HARRISON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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