20D2288994 CLIA NUMBER - WALGREENS 18416

Laboratory Demographics

  • CLIA Code: 20D2288994
  • Facility Name: WALGREENS 18416
  • Facility Address: 123 MAIN ST
    FAIRFIELD, ME
    ZIP 04937
  • Facility Phone: 207 453-2233
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE A. WILCOX
  • NPI Number: 1164947479
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2288994
LAB Type Pharmacy
Facility Name WALGREENS 18416
Street 123 MAIN ST
City FAIRFIELD
State ME
ZIP 04937
Phone 207 453-2233
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 MICHELLE A. WILCOX

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