14D1033268 CLIA NUMBER - OSCO DRUG #0122

Laboratory Demographics

  • CLIA Code: 14D1033268
  • Facility Name: OSCO DRUG #0122
  • Facility Address: 2010 1ST ST - STE A
    MOLINE, IL
    ZIP 61265
  • Facility Phone: (309) 797-9320
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1962458596
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033268
LAB Type Pharmacy
Facility Name OSCO DRUG #0122
Street 2010 1ST ST - STE A
City MOLINE
State IL
ZIP 61265
Phone 3097979320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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This page was last updated on: 5/18/2026