03D1041083 CLIA NUMBER - OSCO DRUG #0991

Laboratory Demographics

  • CLIA Code: 03D1041083
  • Facility Name: OSCO DRUG #0991
  • Facility Address: 8240 W DEER VALLEY RD
    PEORIA, AZ
    ZIP 85382
  • Facility Phone: 623 572-7487
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANI MINASIAN
  • NPI Number: 1215975230
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1041083
LAB Type Pharmacy
Facility Name OSCO DRUG #0991
Street 8240 W DEER VALLEY RD
City PEORIA
State AZ
ZIP 85382
Phone 623 572-7487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Pharmacy
Lab Director ANI MINASIAN

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