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14D0973002 CLIA NUMBER - OSCO DRUG #3459

Laboratory Demographics

CLIA Number: 14D0973002

Facility Name: OSCO DRUG #3459

Facility Address:
1600 DEERFIELD RD
HIGHLAND PARK, IL
ZIP 60035
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Facility Phone Number: 847 579-0884

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1467408385

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 14D0973002
LAB Type Pharmacy
Facility Name OSCO DRUG #3459
Street 1600 DEERFIELD RD
City HIGHLAND PARK
State IL
ZIP 60035
Phone 847 579-0884
CertificateType 4
CertificateEffectiveDate 4/24/2024
CertificateExpirationDate 4/23/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024