Sloan Active Hose Co No 1
Name
Sloan Active Hose Co No 1
Director
Joseph R Takats, III, D.O.
Expiration Date
Phone Number
(716) 897-1564
UID (Facility ID - Site ID)
Z622-0000
Site ID
0000
City
Sloan
CLIA Number
33D2200384
Street Address
55 Gates
State
NY
Zip Code
14212
County
Erie
Country
United States
Fax Number
(716) 896-9209
Primary Contact
Alan Weiberg
Contact Phone Number
(716) 812-7451
Certificate Type
WAIVER
Tests
Glucose
Facility ID
Z622