Lakeview Fire District
Director
							Jay Itzkowitz, M.D.
			Expiration Date
							Phone Number
							(516) 255-5190
			UID (Facility ID - Site ID)
							R987-0000
			Site ID
							0000
			City
							West Hempstead
			CLIA Number
							33D1076251
			Street Address
							895 Woodfield Road
			State
							NY
			Zip Code
							11552
			County
							Nassau
			Country
							United States
			Fax Number
							(516) 594-2641
			Primary Contact
							Mike F Koppel
			Contact Phone Number
							(917) 416-4584
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							R987
			