27D1031941 CLIA NUMBER - OSCO PHARMACY #0020

Laboratory Demographics

  • CLIA Code: 27D1031941
  • Facility Name: OSCO PHARMACY #0020
  • Facility Address: 2205 OXFORD STREET
    MISSOULA, MT
    ZIP 59801
  • Facility Phone: 406 549-5127
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID HERNANDEZ-ANGELES
  • NPI Number: 1528014446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D1031941
LAB Type Pharmacy
Facility Name OSCO PHARMACY #0020
Street 2205 OXFORD STREET
City MISSOULA
State MT
ZIP 59801
Phone 406 549-5127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Pharmacy
Lab Director DAVID HERNANDEZ-ANGELES

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