14D1033495 CLIA NUMBER - OSCO DRUG#3503

Laboratory Demographics

  • CLIA Code: 14D1033495
  • Facility Name: OSCO DRUG#3503
  • Facility Address: 145 S EASTWOOD DR
    WOODSTOCK, IL
    ZIP 60098
  • Facility Phone: 815 206-0716
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1629024229
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1033495
LAB Type Pharmacy
Facility Name OSCO DRUG#3503
Street 145 S EASTWOOD DR
City WOODSTOCK
State IL
ZIP 60098
Phone 815 206-0716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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This page was last updated on: 9/29/2025