Timber Lake West
Director
							Brian S Goldstein, M.D.
			Expiration Date
							Phone Number
							(516) 656-4236
			UID (Facility ID - Site ID)
							Y881-0000
			Site ID
							0000
			City
							Roscoe
			CLIA Number
							33D2183417
			Street Address
							76 Timber Lake West
			State
							NY
			Zip Code
							12776
			County
							Sullivan
			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
							Y881
			