Celoron Hose Company 1
Name
Celoron Hose Company 1
Director
Michael W Faulk, M.D.
Expiration Date
Phone Number
(716) 488-1788
UID (Facility ID - Site ID)
S719-0003
Site ID
0003
City
Celoron
CLIA Number
33D2004728
Street Address
92 Dunham Avenue
State
NY
Zip Code
14720
County
Chautauqua
Country
United States
Fax Number
(716) 488-1787
Primary Contact
Noel M Guttman
Contact Phone Number
(716) 484-8914
Certificate Type
WAIVER
Tests
Glucose
Facility ID
S719