Jay Street IRA
Name
Jay Street IRA
Director
Alan G Withiam, M.D.
Expiration Date
Phone Number
(315) 789-5925
UID (Facility ID - Site ID)
F112-0011
Site ID
0011
City
Geneva
CLIA Number
33D2253767
Street Address
211 Jay St
State
NY
Zip Code
14456
County
Ontario
Country
United States
Fax Number
(315) 789-5926
Primary Contact
Ryan Burba
Contact Phone Number
(585) 551-0649
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Community Screening
Glucose
Facility ID
F112