WG Hertlin House LLC
Name
WG Hertlin House LLC
Director
Farzin Sehati, D.O.
Expiration Date
Phone Number
(631) 981-1880
UID (Facility ID - Site ID)
Z263-0000
Site ID
0000
City
Lake Ronkonkoma
CLIA Number
33D2192945
Street Address
675 Portion Rd
State
NY
Zip Code
11779
County
Suffolk
Country
United States
Fax Number
(502) 779-4749
Primary Contact
Ms. Lauren Pinto
Contact Phone Number
(631) 981-1880
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Influenza
Strep A Test
Facility ID
Z263