14D1034325 CLIA NUMBER - OSCO DRUG#3344

Laboratory Demographics

  • CLIA Code: 14D1034325
  • Facility Name: OSCO DRUG#3344
  • Facility Address: 1220 S ASHLAND AVE
    CHICAGO, IL
    ZIP 60608
  • Facility Phone: 312 733-2837
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1013963669
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1034325
LAB Type Pharmacy
Facility Name OSCO DRUG#3344
Street 1220 S ASHLAND AVE
City CHICAGO
State IL
ZIP 60608
Phone 312 733-2837
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