14D1072335 CLIA NUMBER - OSCO DRUG #3415

Laboratory Demographics

  • CLIA Code: 14D1072335
  • Facility Name: OSCO DRUG #3415
  • Facility Address: 2401 N US HWY 12
    SPRING GROVE, IL
    ZIP 60081
  • Facility Phone: 815 675-6984
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1083828370
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1072335
LAB Type Pharmacy
Facility Name OSCO DRUG #3415
Street 2401 N US HWY 12
City SPRING GROVE
State IL
ZIP 60081
Phone 815 675-6984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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