14D2121488 CLIA NUMBER - OSCO DRUG #3061

Laboratory Demographics

  • CLIA Code: 14D2121488
  • Facility Name: OSCO DRUG #3061
  • Facility Address: 1150 W MAPLE AVE
    MUNDELEIN, IL
    ZIP 60060
  • Facility Phone: 847 970-9324
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL RUSSELL
  • NPI Number: 1780133595
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2121488
LAB Type Pharmacy
Facility Name OSCO DRUG #3061
Street 1150 W MAPLE AVE
City MUNDELEIN
State IL
ZIP 60060
Phone 847 970-9324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Pharmacy
Lab Director RACHEL RUSSELL

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