14D0972999 CLIA NUMBER - OSCO DRUG #0052

Laboratory Demographics

  • CLIA Code: 14D0972999
  • Facility Name: OSCO DRUG #0052
  • Facility Address: 21152 S LAGRANGE RD
    FRANKFORT, IL
    ZIP 60423
  • Facility Phone: 815 464-5050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1356398804
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0972999
LAB Type Pharmacy
Facility Name OSCO DRUG #0052
Street 21152 S LAGRANGE RD
City FRANKFORT
State IL
ZIP 60423
Phone 815 464-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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