20D2289679 CLIA NUMBER - WALGREENS 19967

Laboratory Demographics

  • CLIA Code: 20D2289679
  • Facility Name: WALGREENS 19967
  • Facility Address: 34 COTTAGE ST
    BAR HARBOR, ME
    ZIP 04609
  • Facility Phone: 207 288-2222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHANIEL A. PAGE
  • NPI Number: 1093239105
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2289679
LAB Type Pharmacy
Facility Name WALGREENS 19967
Street 34 COTTAGE ST
City BAR HARBOR
State ME
ZIP 04609
Phone 207 288-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Pharmacy
Lab Director NATHANIEL A. PAGE

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