14D1033280 CLIA NUMBER - OSCO DRUG #1111

Laboratory Demographics

  • CLIA Code: 14D1033280
  • Facility Name: OSCO DRUG #1111
  • Facility Address: 1225 NAPER BLVD
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: 630 961-3210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1962458638
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033280
LAB Type Pharmacy
Facility Name OSCO DRUG #1111
Street 1225 NAPER BLVD
City NAPERVILLE
State IL
ZIP 60540
Phone 630 961-3210
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: 9/29/2025