14D1033183 CLIA NUMBER - OSCO DRUG # 3720

Laboratory Demographics

  • CLIA Code: 14D1033183
  • Facility Name: OSCO DRUG # 3720
  • Facility Address: 16625 W 159TH ST
    LOCKPORT, IL
    ZIP 60441
  • Facility Phone: 815 834-9910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1790731180
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033183
LAB Type Pharmacy
Facility Name OSCO DRUG # 3720
Street 16625 W 159TH ST
City LOCKPORT
State IL
ZIP 60441
Phone 815 834-9910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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