14D1033299 CLIA NUMBER - OSCO DRUG #4138

Laboratory Demographics

  • CLIA Code: 14D1033299
  • Facility Name: OSCO DRUG #4138
  • Facility Address: 2530 US HWY 30
    OSWEGO, IL
    ZIP 60543
  • Facility Phone: (630) 892-0030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1861449316
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033299
LAB Type Pharmacy
Facility Name OSCO DRUG #4138
Street 2530 US HWY 30
City OSWEGO
State IL
ZIP 60543
Phone 6308920030
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: 6/29/2026