03D2001620 CLIA NUMBER - OSCO DRUG #3926

Laboratory Demographics

  • CLIA Code: 03D2001620
  • Facility Name: OSCO DRUG #3926
  • Facility Address: 12970 W INDIAN SCHOOL RD
    LITCHFIELD PARK, AZ
    ZIP 85340
  • Facility Phone: 623 535-7153
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY MILLS
  • NPI Number: 1881631216
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2001620
LAB Type Pharmacy
Facility Name OSCO DRUG #3926
Street 12970 W INDIAN SCHOOL RD
City LITCHFIELD PARK
State AZ
ZIP 85340
Phone 623 535-7153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Pharmacy
Lab Director TIMOTHY MILLS

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