14D1033217 CLIA NUMBER - OSCO DRUG #3191

Laboratory Demographics

  • CLIA Code: 14D1033217
  • Facility Name: OSCO DRUG #3191
  • Facility Address: 20 S WEBER ROAD
    ROMEOVILLE, IL
    ZIP 60446
  • Facility Phone: 815 293-0858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1154377869
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033217
LAB Type Pharmacy
Facility Name OSCO DRUG #3191
Street 20 S WEBER ROAD
City ROMEOVILLE
State IL
ZIP 60446
Phone 815 293-0858
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