05D0063391 CLIA NUMBER - O'CONNOR HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0063391
  • Facility Name: O'CONNOR HOSPITAL LABORATORY
  • Facility Address: 2105 FOREST AVE
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 947-2990
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: ELISABETH MAILHOT
  • NPI Number: 1972985083
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0063391
LAB Type Hospital
Facility Name O'CONNOR HOSPITAL LABORATORY
Street 2105 FOREST AVE
City SAN JOSE
State CA
ZIP 95128
Phone 408 947-2990
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Hospital
Lab Director ELISABETH MAILHOT

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