Latham Multi Specialty Group
Director
							Alan S Boulos, M.D.
			Expiration Date
							Phone Number
							(518) 264-5053
			UID (Facility ID - Site ID)
							L594-0003
			Site ID
							0003
			City
							Latham
			CLIA Number
							33D0885790
			Street Address
							713 Troy Schenectady Rd Suite 306
			State
							NY
			Zip Code
							12110
			County
							Albany
			Country
							United States
			Fax Number
							(518) 264-5057
			Primary Contact
							Devin Friedman
			Contact Phone Number
							(518) 262-9679
			Certificate Type
							PPMP
			Tests
				Direct Wet Mount Preps
							Fern Tests
							Glucose
							Glycosylated Hemoglobin
							Occult Blood
							Potassium Hydroxide (KOH Preps)
							pH
							Pregnancy Test (Urine)
							Qualitative Semen Analysis (microscopy)
							HIV, Rapid
							Urinalysis
							Urine Sediment Exams
					Facility ID
							L594
			