Camp Chipinaw Recreation Co LLC
Director
							Joshua Frank, M.D.
			Expiration Date
							Phone Number
							(845) 583-5600
			UID (Facility ID - Site ID)
							Y959-0000
			Site ID
							0000
			City
							Swan Lake
			CLIA Number
							33D2185050
			Street Address
							85 Silver Lake Rd
			State
							NY
			Zip Code
							12783
			County
							Sullivan
			Country
							United States
			Fax Number
							(845) 583-5454
			Primary Contact
							Glenn Brown
			Contact Phone Number
							(845) 583-5600
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Breath Alcohol
							Glucose
							Pregnancy Test (Urine)
							COVID-19 MOLECULAR
							Strep A Test
							Urinalysis
					Facility ID
							Y959
			