03D2011313 CLIA NUMBER - OSCO DRUG #980

Laboratory Demographics

  • CLIA Code: 03D2011313
  • Facility Name: OSCO DRUG #980
  • Facility Address: 1951 W BASELINE RD
    MESA, AZ
    ZIP 85202
  • Facility Phone: 480 456-4850
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUSS CONNER
  • NPI Number: 1205875689
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011313
LAB Type Pharmacy
Facility Name OSCO DRUG #980
Street 1951 W BASELINE RD
City MESA
State AZ
ZIP 85202
Phone 480 456-4850
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 RUSS CONNER

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