14D1033308 CLIA NUMBER - OSCO DRUG #2160

Laboratory Demographics

  • CLIA Code: 14D1033308
  • Facility Name: OSCO DRUG #2160
  • Facility Address: 9650 W 131ST STREET
    PALOS PARK, IL
    ZIP 60464
  • Facility Phone: 708 361-8090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1235179417
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033308
LAB Type Pharmacy
Facility Name OSCO DRUG #2160
Street 9650 W 131ST STREET
City PALOS PARK
State IL
ZIP 60464
Phone 708 361-8090
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