14D1032870 CLIA NUMBER - OSCO DRUG #0230

Laboratory Demographics

  • CLIA Code: 14D1032870
  • Facility Name: OSCO DRUG #0230
  • Facility Address: 7530 S STONY ISLAND AVE
    CHICAGO, IL
    ZIP 60649
  • Facility Phone: 773 288-7002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAY HIGHLAND
  • NPI Number: 1003862780
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1032870
LAB Type Pharmacy
Facility Name OSCO DRUG #0230
Street 7530 S STONY ISLAND AVE
City CHICAGO
State IL
ZIP 60649
Phone 773 288-7002
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 JAY HIGHLAND

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