14D1065073 CLIA NUMBER - OSCO DRUG #3374

Laboratory Demographics

  • CLIA Code: 14D1065073
  • Facility Name: OSCO DRUG #3374
  • Facility Address: 465 N SUGAR GROVE PKWY - STE A
    SUGAR GROVE, IL
    ZIP 60554
  • Facility Phone: 630 466-3769
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1225076318
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1065073
LAB Type Pharmacy
Facility Name OSCO DRUG #3374
Street 465 N SUGAR GROVE PKWY - STE A
City SUGAR GROVE
State IL
ZIP 60554
Phone 630 466-3769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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