Good Shepherd - Fairview Home
Director
							Jerome J Mikloucich, M.D.
			Expiration Date
							Phone Number
							(607) 724-2477
			UID (Facility ID - Site ID)
							M638-0000
			Site ID
							0000
			City
							Binghamton
			CLIA Number
							33D0168419
			Street Address
							80 Fairview Ave
			State
							NY
			Zip Code
							13904
			County
							Broome
			Country
							United States
			Fax Number
							(607) 584-9069
			Primary Contact
							Kathy Swezey
			Contact Phone Number
							(607) 724-2477
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Glucose
							Occult Blood
							COVID-19 MOLECULAR
					Facility ID
							M638
			