15D0967131 CLIA NUMBER - OSCO DRUG #3096

Laboratory Demographics

  • CLIA Code: 15D0967131
  • Facility Name: OSCO DRUG #3096
  • Facility Address: 716 RIDGE RD
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 836-7978
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW SIEMIAWSKI
  • NPI Number: 1679529101
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0967131
LAB Type Pharmacy
Facility Name OSCO DRUG #3096
Street 716 RIDGE RD
City MUNSTER
State IN
ZIP 46321
Phone 219 836-7978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director MATTHEW SIEMIAWSKI

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