03D1041301 CLIA NUMBER - OSCO DRUG #3941

Laboratory Demographics

  • CLIA Code: 03D1041301
  • Facility Name: OSCO DRUG #3941
  • Facility Address: 5040 W CACTUS ROAD
    GLENDALE, AZ
    ZIP 85304
  • Facility Phone: 602 843-0351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE ROWLAND
  • NPI Number: 1700823135
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1041301
LAB Type Pharmacy
Facility Name OSCO DRUG #3941
Street 5040 W CACTUS ROAD
City GLENDALE
State AZ
ZIP 85304
Phone 602 843-0351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Pharmacy
Lab Director KYLE ROWLAND

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