20D2253101 CLIA NUMBER - WESTERN MAINE PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 20D2253101
  • Facility Name: WESTERN MAINE PHARMACY, INC
  • Facility Address: 119 MAIN ST
    KINGFIELD, ME
    ZIP 04947
  • Facility Phone: 207 265-8020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUDREY PARKS
  • NPI Number: 1306129085
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2253101
LAB Type Pharmacy
Facility Name WESTERN MAINE PHARMACY, INC
Street 119 MAIN ST
City KINGFIELD
State ME
ZIP 04947
Phone 207 265-8020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Pharmacy
Lab Director AUDREY PARKS

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