Govitt House IRA
Director
							Robert B Young, M.D.
			Expiration Date
							Phone Number
							(315) 604-6936
			UID (Facility ID - Site ID)
							E013-0001
			Site ID
							0001
			City
							Lyons
			CLIA Number
							33D2224038
			Street Address
							24 Catherine St
			State
							NY
			Zip Code
							14489
			County
							Wayne
			Country
							United States
			Fax Number
							(315) 946-4744
			Primary Contact
							Sue Schmidt
			Contact Phone Number
							(315) 946-4744
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Glucose
					Facility ID
							E013