20D2200429 CLIA NUMBER - WALGREENS #19902

Laboratory Demographics

  • CLIA Code: 20D2200429
  • Facility Name: WALGREENS #19902
  • Facility Address: 665 ROOSEVELT TRL
    NAPLES, ME
    ZIP 04055
  • Facility Phone: 207 693-3937
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KERRY S. SIMPSON
  • NPI Number: 1821513748
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2200429
LAB Type Pharmacy
Facility Name WALGREENS #19902
Street 665 ROOSEVELT TRL
City NAPLES
State ME
ZIP 04055
Phone 207 693-3937
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 KERRY S. SIMPSON

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