14D1034245 CLIA NUMBER - OSCO DRUG #3223

Laboratory Demographics

  • CLIA Code: 14D1034245
  • Facility Name: OSCO DRUG #3223
  • Facility Address: 7523 W LAKE ST
    RIVER FOREST, IL
    ZIP 60305
  • Facility Phone: 708 771-4445
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1003862772
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1034245
LAB Type Pharmacy
Facility Name OSCO DRUG #3223
Street 7523 W LAKE ST
City RIVER FOREST
State IL
ZIP 60305
Phone 708 771-4445
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