14D1033502 CLIA NUMBER - OSCO DRUG #3421

Laboratory Demographics

  • CLIA Code: 14D1033502
  • Facility Name: OSCO DRUG #3421
  • Facility Address: 1402 21ST ST
    ZION, IL
    ZIP 60099
  • Facility Phone: 847 746-2616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1295781961
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1033502
LAB Type Pharmacy
Facility Name OSCO DRUG #3421
Street 1402 21ST ST
City ZION
State IL
ZIP 60099
Phone 847 746-2616
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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