20D2288910 CLIA NUMBER - WALGREENS 17149

Laboratory Demographics

  • CLIA Code: 20D2288910
  • Facility Name: WALGREENS 17149
  • Facility Address: 220 US ROUTE 1
    BUCKSPORT, ME
    ZIP 04416
  • Facility Phone: 207 469-2201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY E. PINCINS
  • NPI Number: 1528582475
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2288910
LAB Type Pharmacy
Facility Name WALGREENS 17149
Street 220 US ROUTE 1
City BUCKSPORT
State ME
ZIP 04416
Phone 207 469-2201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director ASHLEY E. PINCINS

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