20D2200355 CLIA NUMBER - WALGREENS #17473

Laboratory Demographics

  • CLIA Code: 20D2200355
  • Facility Name: WALGREENS #17473
  • Facility Address: 28 PARK ST
    ROCKLAND, ME
    ZIP 04841
  • Facility Phone: (207) 596-0036
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAY BRASSBRIDGE
  • NPI Number: 1265957062
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2200355
LAB Type Pharmacy
Facility Name WALGREENS #17473
Street 28 PARK ST
City ROCKLAND
State ME
ZIP 04841
Phone 2075960036
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 MAY BRASSBRIDGE

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This page was last updated on: 5/18/2026