Hultquist Place
Director
Albert J Persia, M.D.
Expiration Date
Phone Number
(716) 720-9610
UID (Facility ID - Site ID)
H612-0000
Site ID
0000
City
Jamestown
CLIA Number
33D2350697
Street Address
715 Falconer St
State
NY
Zip Code
14701
County
Chautauqua
Country
United States
Fax Number
(716) 720-9609
Primary Contact
Shannon McCune
Contact Phone Number
(716) 720-9601
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Glucose
Facility ID
H612