Circulo de la Hispanidad Inc
Director
							Aracelis Fernandez, M.D.
			Expiration Date
							Phone Number
							(516) 431-1135
			UID (Facility ID - Site ID)
							X927-0001
			Site ID
							0001
			City
							Long Beach
			CLIA Number
							33D2159597
			Street Address
							26 W Park Ave
			State
							NY
			Zip Code
							11561
			County
							Nassau
			Country
							United States
			Fax Number
							(516) 431-2307
			Primary Contact
							Sarah Brewster
			Contact Phone Number
							(516) 431-1135
			Certificate Type
							WAIVER
			Tests
				HIV, Rapid
					Facility ID
							X927