Elderwood of Lakeside at Brockport
Director
Brian H Son, D.O.
Expiration Date
Phone Number
(585) 395-6052
UID (Facility ID - Site ID)
M595-0000
Site ID
0000
City
Brockport
CLIA Number
33D0654836
Street Address
170 West Ave
State
NY
Zip Code
14420
County
Monroe
Country
United States
Fax Number
(585) 395-6007
Primary Contact
Kimberly Klinetob
Contact Phone Number
(585) 395-6052
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Glucose
Influenza
RSV (Respiratory Syncytial Virus)
Facility ID
M595