no name indicated
Name
no name indicated
Director
Laura A Mulvey, M.D.
Expiration Date
Phone Number
(518) 963-8316
UID (Facility ID - Site ID)
G776-0001
Site ID
0001
City
Willsboro
CLIA Number
33D2311231
Street Address
17 Farrell Rd
State
NY
Zip Code
12996
County
Essex
Country
United States
Fax Number
(518) 963-7508
Primary Contact
Rebecca L Crowningshield
Contact Phone Number
(518) 569-1224
Certificate Type
WAIVER
Tests
Glucose
Facility ID
G776