14D1024814 CLIA NUMBER - OSCO DRUG #4500

Laboratory Demographics

  • CLIA Code: 14D1024814
  • Facility Name: OSCO DRUG #4500
  • Facility Address: 1340 S CANAL ST
    CHICAGO, IL
    ZIP 60607
  • Facility Phone: 312 666-5612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1831528694
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1024814
LAB Type Pharmacy
Facility Name OSCO DRUG #4500
Street 1340 S CANAL ST
City CHICAGO
State IL
ZIP 60607
Phone 312 666-5612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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