AC HEALTH CARE MANUFACTURED BY AC HEALTHCARE SUPPLY, INC.

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Request for Information Form	Contact Information
Company Name	AC HEALTHCARE SUPPLY, INC.
Address	116-51 230TH ST.
City, State, Zip	CAMBRIA HEIGHTS, NY 11411
Country	US
FDA Owner/Operator Phone	905-448-4706
FDA Medical Specialty Code	HO - General Hospital
FDA Product Code	LBJ
FDA Classification Name	DEVICE, VEIN STABILIZATION
FDA Device Classification Code	General Controls
FDA Regulation Number	880.6980
FDA Common Generic Name	SCALP VEIN SET
FDA Proprietary Device Name	AC HEALTH CARE
FDA Owner / Operator Number	9054801
FDA Owner / Operator Name	AC HEALTHCARE SUPPLY, INC.
FDA Establishment Registration Number	3003936589
FDA Registered Establishment Name	AC HEALTHCARE SUPPLY, INC.
FDA Operation Code(s)	RR - Repackager/Relabeller
FDA Listing Date	02-04-04
FDA Listing Status Code	Active
Differentiation	N/A
Keywords	N/A
Description	N/A
Brochure	N/A
Product Website	N/A

Our records indicate that the following medical device companyies may manufacture a similar device.

	Company Name / Address / Phone	Proprietary Device Name	Common Generic Device Name
1	KOINONIA TECHNOLOGY & TRADING, INC. 6343 YEAGERTOWN RD. NEW MARKET, MD 21774 US 301-662-0332 / 301-662-0332	DEVICE, VEIN STABILIZATION	ADJUSTABLE IV AID