14D2107491 CLIA NUMBER - OSCO DRUG #3495

Laboratory Demographics

  • CLIA Code: 14D2107491
  • Facility Name: OSCO DRUG #3495
  • Facility Address: 1127 S YORK RD
    BENSENVILLE, IL
    ZIP 60106
  • Facility Phone: 630 238-0280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1275904427
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2107491
LAB Type Pharmacy
Facility Name OSCO DRUG #3495
Street 1127 S YORK RD
City BENSENVILLE
State IL
ZIP 60106
Phone 630 238-0280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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This page was last updated on: 6/4/2025