14D1033297 CLIA NUMBER - OSCO DRUG #0157

Laboratory Demographics

  • CLIA Code: 14D1033297
  • Facility Name: OSCO DRUG #0157
  • Facility Address: 4650 W 103RD ST
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: (708) 422-2334
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSEL
  • NPI Number: 1184662322
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033297
LAB Type Pharmacy
Facility Name OSCO DRUG #0157
Street 4650 W 103RD ST
City OAK LAWN
State IL
ZIP 60453
Phone 7084222334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2025
Certificate Expiration Date 11/16/2027
Facility Type Pharmacy
Lab Director RACHEL RUSSEL

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This page was last updated on: 6/29/2026