14D1033195 CLIA NUMBER - OSCO DRUG #3432

Laboratory Demographics

  • CLIA Code: 14D1033195
  • Facility Name: OSCO DRUG #3432
  • Facility Address: 900 E ROLLINS RD
    ROUND LAKE BEACH, IL
    ZIP 60073
  • Facility Phone: 847 223-7056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1851347520
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033195
LAB Type Pharmacy
Facility Name OSCO DRUG #3432
Street 900 E ROLLINS RD
City ROUND LAKE BEACH
State IL
ZIP 60073
Phone 847 223-7056
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