14D1034261 CLIA NUMBER - OSCO DRUG #1256

Laboratory Demographics

  • CLIA Code: 14D1034261
  • Facility Name: OSCO DRUG #1256
  • Facility Address: 107 S RANDALL RD
    ALGONQUIN, IL
    ZIP 60102
  • Facility Phone: 847 854-0242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1043266570
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1034261
LAB Type Pharmacy
Facility Name OSCO DRUG #1256
Street 107 S RANDALL RD
City ALGONQUIN
State IL
ZIP 60102
Phone 847 854-0242
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