15D1033374 CLIA NUMBER - OSCO DRUG #0076

Laboratory Demographics

  • CLIA Code: 15D1033374
  • Facility Name: OSCO DRUG #0076
  • Facility Address: 1276 N MAIN ST
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 662-0200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW SIEMIAWSKI
  • NPI Number: 1245286632
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1033374
LAB Type Pharmacy
Facility Name OSCO DRUG #0076
Street 1276 N MAIN ST
City CROWN POINT
State IN
ZIP 46307
Phone 219 662-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Pharmacy
Lab Director MATTHEW SIEMIAWSKI

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