Custom Care Services LLC
Director
							Shiva Golshan, P.A.
			Expiration Date
							Phone Number
							(718) 216-5867
			UID (Facility ID - Site ID)
							F235-0000
			Site ID
							0000
			City
							Brooklyn
			CLIA Number
							33D2258499
			Street Address
							423 Ave N
			State
							NY
			Zip Code
							11230
			County
							Kings
			Country
							United States
			Primary Contact
							Shiva Golshan
			Contact Phone Number
							(718) 216-5867
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Influenza
							Pregnancy Test (Urine)
							RSV (Respiratory Syncytial Virus)
							Strep A Test
							Urinalysis
					Facility ID
							F235