14D2080320 CLIA NUMBER - OSCO DRUG #3546

Laboratory Demographics

  • CLIA Code: 14D2080320
  • Facility Name: OSCO DRUG #3546
  • Facility Address: 424 W DIVISION ST
    CHICAGO, IL
    ZIP 60610
  • Facility Phone: 312 642-2951
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1346667656
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2080320
LAB Type Pharmacy
Facility Name OSCO DRUG #3546
Street 424 W DIVISION ST
City CHICAGO
State IL
ZIP 60610
Phone 312 642-2951
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: 9/29/2025