20D2288989 CLIA NUMBER - WALGREENS 17725

Laboratory Demographics

  • CLIA Code: 20D2288989
  • Facility Name: WALGREENS 17725
  • Facility Address: 156 MAINE STREET
    BRUNSWICK, ME
    ZIP 04011
  • Facility Phone: 207 729-8100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANCHU THOMAS
  • NPI Number: 1538683529
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2288989
LAB Type Pharmacy
Facility Name WALGREENS 17725
Street 156 MAINE STREET
City BRUNSWICK
State ME
ZIP 04011
Phone 207 729-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Pharmacy
Lab Director SANCHU THOMAS

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