14D1033151 CLIA NUMBER - OSCO DRUG #3428

Laboratory Demographics

  • CLIA Code: 14D1033151
  • Facility Name: OSCO DRUG #3428
  • Facility Address: 1128 CHICAGO AVE
    EVANSTON, IL
    ZIP 60202
  • Facility Phone: 847 869-3520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1326086554
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033151
LAB Type Pharmacy
Facility Name OSCO DRUG #3428
Street 1128 CHICAGO AVE
City EVANSTON
State IL
ZIP 60202
Phone 847 869-3520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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