14D1032858 CLIA NUMBER - OSCO DRUG #3477

Laboratory Demographics

  • CLIA Code: 14D1032858
  • Facility Name: OSCO DRUG #3477
  • Facility Address: 4734 N CUMBERLAND AVE
    CHICAGO, IL
    ZIP 60656
  • Facility Phone: (773) 625-5525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1730136276
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1032858
LAB Type Pharmacy
Facility Name OSCO DRUG #3477
Street 4734 N CUMBERLAND AVE
City CHICAGO
State IL
ZIP 60656
Phone 7736255525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
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: 5/18/2026