14D1034303 CLIA NUMBER - OSCO DRUG #1306

Laboratory Demographics

  • CLIA Code: 14D1034303
  • Facility Name: OSCO DRUG #1306
  • Facility Address: 1260 W MAIN ST
    WEST DUNDEE, IL
    ZIP 60118
  • Facility Phone: (847) 428-5522
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1730135419
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1034303
LAB Type Pharmacy
Facility Name OSCO DRUG #1306
Street 1260 W MAIN ST
City WEST DUNDEE
State IL
ZIP 60118
Phone 8474285522
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: 5/18/2026