Southampton Camp and Club
Director
							Brian S Goldstein, M.D.
			Expiration Date
							Phone Number
							(516) 953-5176
			UID (Facility ID - Site ID)
							Y879-0000
			Site ID
							0000
			City
							Southampton
			CLIA Number
							33D2183968
			Street Address
							665 Majors Path
			State
							NY
			Zip Code
							11968
			County
							Suffolk
			Country
							United States
			Primary Contact
							Scott Glick
			Contact Phone Number
							(516) 656-4229
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Community Screening
							Glucose
							Influenza
							Mononucleosis
							COVID-19 MOLECULAR
							RSV (Respiratory Syncytial Virus)
							Strep A Test
					Facility ID
							Y879
			