Shasta IRA
Name
Shasta IRA
Director
Helen H Brady, N.P.
Expiration Date
Phone Number
(518) 392-0297
UID (Facility ID - Site ID)
M847-0000
Site ID
0000
City
Hudson
CLIA Number
33D0654328
Street Address
59 Shasta Drive
State
NY
Zip Code
12534
County
Columbia
Country
United States
Fax Number
(518) 392-0297
Primary Contact
Carrie Rider
Contact Phone Number
(518) 672-4451
Certificate Type
WAIVER
Tests
Glucose
Ketones
Facility ID
M847