33D2268919 CLIA NUMBER - O'CONNOR MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D2268919
  • Facility Name: O'CONNOR MEDICAL PLLC
  • Facility Address: 9 ORCHARD ST
    PORT JERVIS, NY
    ZIP 12771
  • Facility Phone: 609 661-2946
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDON P. OCONNOR
  • NPI Number: 1992434294
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2268919
LAB Type Physician Office
Facility Name O'CONNOR MEDICAL PLLC
Street 9 ORCHARD ST
City PORT JERVIS
State NY
ZIP 12771
Phone 609 661-2946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director BRANDON P. OCONNOR

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