14D1033189 CLIA NUMBER - OSCO DRUG #0606

Laboratory Demographics

  • CLIA Code: 14D1033189
  • Facility Name: OSCO DRUG #0606
  • Facility Address: 1300 S MILWAUKEE AVE
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 680-8300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1760438436
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033189
LAB Type Pharmacy
Facility Name OSCO DRUG #0606
Street 1300 S MILWAUKEE AVE
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 680-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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