14D1034235 CLIA NUMBER - OSCO DRUG #3219

Laboratory Demographics

  • CLIA Code: 14D1034235
  • Facility Name: OSCO DRUG #3219
  • Facility Address: 129 RANDALL ROAD
    BATAVIA, IL
    ZIP 60510
  • Facility Phone: 630 879-8858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1952358400
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1034235
LAB Type Pharmacy
Facility Name OSCO DRUG #3219
Street 129 RANDALL ROAD
City BATAVIA
State IL
ZIP 60510
Phone 630 879-8858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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