14D1033132 CLIA NUMBER - OSCO DRUG #3425

Laboratory Demographics

  • CLIA Code: 14D1033132
  • Facility Name: OSCO DRUG #3425
  • Facility Address: 1480 LEE ST
    DES PLAINES, IL
    ZIP 60018
  • Facility Phone: 847 299-8185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1093761918
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033132
LAB Type Pharmacy
Facility Name OSCO DRUG #3425
Street 1480 LEE ST
City DES PLAINES
State IL
ZIP 60018
Phone 847 299-8185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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