20D2291382 CLIA NUMBER - WALGREENS 18000

Laboratory Demographics

  • CLIA Code: 20D2291382
  • Facility Name: WALGREENS 18000
  • Facility Address: 302 MAIN ST
    OLD TOWN, ME
    ZIP 04468
  • Facility Phone: 207 827-8021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDI L. MCGREGOR
  • NPI Number: 1326563826
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2291382
LAB Type Pharmacy
Facility Name WALGREENS 18000
Street 302 MAIN ST
City OLD TOWN
State ME
ZIP 04468
Phone 207 827-8021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Pharmacy
Lab Director JORDI L. MCGREGOR

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