14D1082214 CLIA NUMBER - OSCO DRUG #3381

Laboratory Demographics

  • CLIA Code: 14D1082214
  • Facility Name: OSCO DRUG #3381
  • Facility Address: 220 W PEACE ROAD
    SYCAMORE, IL
    ZIP 60178
  • Facility Phone: 815 895-9435
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1689845075
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1082214
LAB Type Pharmacy
Facility Name OSCO DRUG #3381
Street 220 W PEACE ROAD
City SYCAMORE
State IL
ZIP 60178
Phone 815 895-9435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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