14D1017130 CLIA NUMBER - OSCO DRUG #0058

Laboratory Demographics

  • CLIA Code: 14D1017130
  • Facility Name: OSCO DRUG #0058
  • Facility Address: 2855 95TH ST
    NAPERVILLE, IL
    ZIP 60564
  • Facility Phone: 630 904-7709
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1033165568
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1017130
LAB Type Pharmacy
Facility Name OSCO DRUG #0058
Street 2855 95TH ST
City NAPERVILLE
State IL
ZIP 60564
Phone 630 904-7709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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