14D2093200 CLIA NUMBER - SEAN O'CONNOR MD SC

Laboratory Demographics

  • CLIA Code: 14D2093200
  • Facility Name: SEAN O'CONNOR MD SC
  • Facility Address: 211 E CHICAGO AVE, STE 1700
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 944-8979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEAN O CONNOR MD
  • NPI Number: 1740693423
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2093200
LAB Type Physician Office
Facility Name SEAN O'CONNOR MD SC
Street 211 E CHICAGO AVE, STE 1700
City CHICAGO
State IL
ZIP 60611
Phone 312 944-8979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director SEAN O CONNOR MD

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