Lebanon Valley Auto Racing Corp
Name
Lebanon Valley Auto Racing Corp
Director
Russell M Zivkovich, M.D.
Expiration Date
Phone Number
(518) 368-2375
UID (Facility ID - Site ID)
G759-0000
Site ID
0000
City
West Lebanon
CLIA Number
33D2300874
Street Address
1746 Rte 20
State
NY
Zip Code
12195
County
Columbia
Country
United States
Primary Contact
Michael Fisher
Contact Phone Number
(518) 368-2375
Certificate Type
WAIVER
Tests
Glucose
Facility ID
G759