14D0973004 CLIA NUMBER - OSCO DRUG #3496

Laboratory Demographics

  • CLIA Code: 14D0973004
  • Facility Name: OSCO DRUG #3496
  • Facility Address: 696 NORTHWEST HWY
    CARY, IL
    ZIP 60013
  • Facility Phone: 847 639-3656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1104872878
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0973004
LAB Type Pharmacy
Facility Name OSCO DRUG #3496
Street 696 NORTHWEST HWY
City CARY
State IL
ZIP 60013
Phone 847 639-3656
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