14D1034322 CLIA NUMBER - OSCO DRUG #3340

Laboratory Demographics

  • CLIA Code: 14D1034322
  • Facility Name: OSCO DRUG #3340
  • Facility Address: 599 ROOSEVELT RD
    GLEN ELLYN, IL
    ZIP 60137
  • Facility Phone: 630 790-2294
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1013963784
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1034322
LAB Type Pharmacy
Facility Name OSCO DRUG #3340
Street 599 ROOSEVELT RD
City GLEN ELLYN
State IL
ZIP 60137
Phone 630 790-2294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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