Ivylea Pharmacy
Director
							Chester H Fox, M.D.
			Expiration Date
							Phone Number
							(716) 873-1444
			UID (Facility ID - Site ID)
							Y817-0000
			Site ID
							0000
			City
							Kenmore
			CLIA Number
							33D2184420
			Street Address
							2446 Elmwood Ave
			State
							NY
			Zip Code
							14217
			County
							Erie
			Country
							United States
			Fax Number
							(716) 873-5496
			Primary Contact
							Charles Barone
			Contact Phone Number
							(716) 873-1444
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Glycosylated Hemoglobin
							Influenza
							COVID-19 MOLECULAR
							RSV (Respiratory Syncytial Virus)
					Facility ID
							Y817
			