JS Koster Hose Co
Director
Todd R Howland, M.D.
Expiration Date
Phone Number
(315) 941-8200
UID (Facility ID - Site ID)
Y922-0000
Site ID
0000
City
Port Leyden
CLIA Number
33D2189978
Street Address
3387 Douglas St
State
NY
Zip Code
13433
County
Lewis
Country
United States
Primary Contact
Jennifer Samson
Contact Phone Number
(315) 292-8291
Certificate Type
WAIVER
Tests
Glucose
Facility ID
Y922