20D2200421 CLIA NUMBER - WALGREENS #18409

Laboratory Demographics

  • CLIA Code: 20D2200421
  • Facility Name: WALGREENS #18409
  • Facility Address: 335 ALFRED ST
    BIDDEFORD, ME
    ZIP 04005
  • Facility Phone: 207 282-1577
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN A. FOURNIER
  • NPI Number: 1821513284
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2200421
LAB Type Pharmacy
Facility Name WALGREENS #18409
Street 335 ALFRED ST
City BIDDEFORD
State ME
ZIP 04005
Phone 207 282-1577
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 BENJAMIN A. FOURNIER

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