Lower Eastside Service Center Inc
Director
							Kenneth C Levy, M.D.
			Expiration Date
							Phone Number
							(212) 566-5372
			UID (Facility ID - Site ID)
							Y325-0000
			Site ID
							0000
			City
							New York
			CLIA Number
							33D2167663
			Street Address
							46 E Braodway
			State
							NY
			Zip Code
							10002
			County
							New York
			Country
							United States
			Fax Number
							(646) 779-4001
			Primary Contact
							Gail Reid
			Contact Phone Number
							(212) 566-7720
			Certificate Type
							WAIVER
			Tests
				HCV, Rapid
							HIV, Rapid
					Facility ID
							Y325