14D1033296 CLIA NUMBER - OSCO DRUG #0607

Laboratory Demographics

  • CLIA Code: 14D1033296
  • Facility Name: OSCO DRUG #0607
  • Facility Address: 9424 S PULASKI RD
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 857-8274
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1093761777
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033296
LAB Type Pharmacy
Facility Name OSCO DRUG #0607
Street 9424 S PULASKI RD
City OAK LAWN
State IL
ZIP 60453
Phone 708 857-8274
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