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Laboratories	Expiration Date
Regency Extended Care Center PFI: N720 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elliot I Schwartz, M.D. Phone: (914) 963-4000 Fax: (914) 963-8290 Address: 65 Ashburton Ave, Yonkers, NY 10701 County: Westchester Country: United States Single or Primary Contact: Ms. Carole Sgaglione Contact Phone: (914) 963-4000 CLIA #: 33D0670124 Tests: Glucose Urinalysis Record last changed Feb 16, 2019 ·	07/29/2020	Print
Samaritan Family Health Center - Clayton PFI: P489 Secondary Site ID: 0003 Certification Type: PPMP Director: Shahandeh Haghir, M.D. Phone: (315) 686-2094 Fax: (315) 686-2821 Address: 909 Strawberry Lane, Clayton, NY 13624 County: Jefferson Country: United States Single or Primary Contact: Mr. Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052 Tests: Direct Wet Mount Preps Fern Tests Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Protime Strep A Test Urinalysis Record last changed Feb 16, 2019 ·	11/19/2020	Print
Samaratan Urology Clinic Washington Summit PFI: P489 Secondary Site ID: 0008 Certification Type: PPMP Director: Shahandeh Haghir, M.D. Phone: (315) 782-7230 Fax: (315) 782-3209 Address: 19324 US Rte 11, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Mr. Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052 Tests: Direct Wet Mount Preps Fern Tests Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Protime Strep A Test Urinalysis Record last changed Feb 16, 2019 ·	11/19/2020	Print
Samaritan Family Health Center - Lacona PFI: P489 Secondary Site ID: 0004 Certification Type: PPMP Director: Shahandeh Haghir, M.D. Phone: (315) 387-3400 Fax: (315) 387-3246 Address: 3 DeMott Street, Lacona, NY 13083 County: Oswego Country: United States Single or Primary Contact: Mr. Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052 Tests: Direct Wet Mount Preps Fern Tests Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Protime Strep A Test Urinalysis Record last changed Feb 16, 2019 ·	11/19/2020	Print
Samaratan Wound Care PFI: P489 Secondary Site ID: 0009 Certification Type: PPMP Director: Shahandeh Haghir, M.D. Phone: (315) 755-2024 Fax: (315) 755-2032 Address: 165 Coleman Ave, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Mr. Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052 Tests: Direct Wet Mount Preps Fern Tests Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Protime Strep A Test Urinalysis Record last changed Feb 16, 2019 ·	11/19/2020	Print

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