14D1034237 CLIA NUMBER - OSCO DRUG #3220

Laboratory Demographics

  • CLIA Code: 14D1034237
  • Facility Name: OSCO DRUG #3220
  • Facility Address: 22 BIESTERFIELD
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 593-1226
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSEL
  • NPI Number: 1659327328
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1034237
LAB Type Pharmacy
Facility Name OSCO DRUG #3220
Street 22 BIESTERFIELD
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 593-1226
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 RUSSEL

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