City of Troy Bureau of Fire
Director
							Kathleen M Crisafulli, M.D.
			Expiration Date
							Phone Number
							(518) 270-4471
			UID (Facility ID - Site ID)
							L622-0000
			Site ID
							0000
			City
							Troy
			CLIA Number
							33D0945399
			Street Address
							2175 6th Ave
			State
							NY
			Zip Code
							12180
			County
							Rensselaer
			Country
							United States
			Fax Number
							(518) 271-8193
			Primary Contact
							Mr. Richard M Cellucci
			Contact Phone Number
							(518) 270-4471
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							L622
			