03D1041094 CLIA NUMBER - OSCO DRUG #0004

Laboratory Demographics

  • CLIA Code: 03D1041094
  • Facility Name: OSCO DRUG #0004
  • Facility Address: 3130 W CAREFREE HWY
    PHOENIX, AZ
    ZIP 85086
  • Facility Phone: 623 582-2743
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNNETTE RAIMONDO
  • NPI Number: 1578502951
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1041094
LAB Type Pharmacy
Facility Name OSCO DRUG #0004
Street 3130 W CAREFREE HWY
City PHOENIX
State AZ
ZIP 85086
Phone 623 582-2743
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 LYNNETTE RAIMONDO

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