20D2200369 CLIA NUMBER - WALGREENS #18248

Laboratory Demographics

  • CLIA Code: 20D2200369
  • Facility Name: WALGREENS #18248
  • Facility Address: 112 BENNETT DR
    CARIBOU, ME
    ZIP 04736
  • Facility Phone: 207 498-8735
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES A. BARBOUR
  • NPI Number: 1609390681
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2200369
LAB Type Pharmacy
Facility Name WALGREENS #18248
Street 112 BENNETT DR
City CARIBOU
State ME
ZIP 04736
Phone 207 498-8735
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 JAMES A. BARBOUR

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