14D2011164 CLIA NUMBER - OSCO DRUG # 3376

Laboratory Demographics

  • CLIA Code: 14D2011164
  • Facility Name: OSCO DRUG # 3376
  • Facility Address: 370 N DES PLAINES ST
    CHICAGO, IL
    ZIP 60661
  • Facility Phone: 312 243-2714
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSELL
  • NPI Number: 1669636601
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2011164
LAB Type Pharmacy
Facility Name OSCO DRUG # 3376
Street 370 N DES PLAINES ST
City CHICAGO
State IL
ZIP 60661
Phone 312 243-2714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Pharmacy
Lab Director RACHEL RUSELL

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