14D2080317 CLIA NUMBER - OSCO DRUG #4305

Laboratory Demographics

  • CLIA Code: 14D2080317
  • Facility Name: OSCO DRUG #4305
  • Facility Address: 345 S RAND RD
    LAKE ZURICH, IL
    ZIP 60047
  • Facility Phone: (847) 438-2450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1518384445
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2080317
LAB Type Pharmacy
Facility Name OSCO DRUG #4305
Street 345 S RAND RD
City LAKE ZURICH
State IL
ZIP 60047
Phone 8474382450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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This page was last updated on: 5/18/2026