Only went there because of Cigna HMO. The staff is overly sugar friendly to make up for the surroundings, the lateness of tests, the clientele, the lack of cleanliness. NO ONE washed their hands while I was there, even before starting an IV and pulling off the finger tips of gloves. Even though I had spoken with them several times before the appointment, I was no forewarned of the $115.59 charge until I signed in.