05D2142170 CLIA NUMBER - LANCE O'CONNOR CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 05D2142170
  • Facility Name: LANCE O'CONNOR CHIROPRACTIC
  • Facility Address: 910 VALLEJO ST
    SANTA ROSA, CA
    ZIP 95404
  • Facility Phone: 707 525-9111
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LANCE A. OCONNOR
  • NPI Number: 1417159419
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2142170
LAB Type Practitioner Other
Facility Name LANCE O'CONNOR CHIROPRACTIC
Street 910 VALLEJO ST
City SANTA ROSA
State CA
ZIP 95404
Phone 707 525-9111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Practitioner Other
Lab Director LANCE A. OCONNOR

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