EHS Nurse Station Suffolk SOB
Name
EHS Nurse Station Suffolk SOB
Director
Donald P McLauren, M.D.
Expiration Date
Phone Number
(631) 952-1656
UID (Facility ID - Site ID)
G743-0004
Site ID
0004
City
Hauppauge
CLIA Number
33D2299464
Street Address
250 Veterans Mem Hwy - SOB Rm 349
State
NY
Zip Code
11788
County
Suffolk
Country
United States
Fax Number
(631) 952-7031
Primary Contact
April Johnson
Contact Phone Number
(518) 233-3120
Certificate Type
WAIVER
Tests
Glucose
Occult Blood
Urinalysis
Facility ID
G743