14D1062535 CLIA NUMBER - OSCO DRUG #1156

Laboratory Demographics

  • CLIA Code: 14D1062535
  • Facility Name: OSCO DRUG #1156
  • Facility Address: 446 S WASHINGTON AVE
    KANKAKEE, IL
    ZIP 60901
  • Facility Phone: 815 935-2041
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1083776959
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1062535
LAB Type Pharmacy
Facility Name OSCO DRUG #1156
Street 446 S WASHINGTON AVE
City KANKAKEE
State IL
ZIP 60901
Phone 815 935-2041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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