Sunharbor Acquisition I LLC DBA Sunharbor Manor PFI: L856Secondary Site ID: 0000Certification Type: WAIVERDirector: Nodar Janas, M.D.Phone: (516) 621-5400Fax: (516) 621-4879Address: 255 Warner Ave, Roslyn Heights, NY 11577County: NassauCountry: United StatesSingle or Primary Contact: Margaret GianottiContact Phone: (516) 621-5400CLIA #: 33D0663762Tests: 11/01/2026 Mount Sinai Doctors Klondike PFI: L858Secondary Site ID: 0000Certification Type: WAIVERDirector: Robert Fulop, M.D.Phone: (718) 761-1156Fax: (718) 761-1047Address: 476 Klondike Ave, Staten Island, NY 10317County: RichmondCountry: United StatesSingle or Primary Contact: Susan Contact Phone: (718) 761-1156CLIA #: 33D0135500Tests: Glucose Glycosylated Hemoglobin Influenza Occult Blood Strep A Test Urinalysis 05/04/2028 Margaret Tietz Nursing and Rehabilitation Center PFI: L868Secondary Site ID: 0000Certification Type: WAIVERDirector: Janas Nodar, M.D.Phone: (718) 298-7800Fax: (718) 298-8866Address: 164-11 Chapin Parkway, Jamaica, NY 11432County: QueensCountry: United StatesSingle or Primary Contact: Abraham KoretskiContact Phone: (718) 298-7800CLIA #: 33D0152476Tests: COVID-19 ANTIGEN Glucose Influenza 03/08/2028 Maxim of New York LLC PFI: L870Secondary Site ID: 0000Certification Type: WAIVERDirector: Mary C. Daye, M.D.Phone: (516) 565-6322Fax: (877) 717-2778Address: 900 Merchants Concourse - Ste 412, Westbury, NY 11590County: NassauCountry: United StatesSingle or Primary Contact: Sonja ReisigContact Phone: (443) 430-8690CLIA #: 33D0992383Tests: Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol LDL Cholesterol Triglycerides Urinalysis 02/22/2028 Kings Physician Services PC PFI: L871Secondary Site ID: 0000Certification Type: WAIVERDirector: Roosevelt Cherubin, M.D.Phone: (718) 284-4440Fax: Address: 1910 Nostrand Ave, Brooklyn, NY 11226County: KingsCountry: United StatesSingle or Primary Contact: Ariel ContrerasContact Phone: (917) 886-9741CLIA #: 33D0951813Tests: Community Screening Drugs of Abuse Glucose Hemoglobin Pregnancy Test (Urine) Urinalysis 08/13/2028 NYPBMH Integrated Behavioral Health Services PFI: L871Secondary Site ID: 0008Certification Type: WAIVERDirector: Roosevelt Cherubin, M.D.Phone: (929) 470-9881Fax: (646) 967-4287Address: 343 4th Ave, Brooklyn, NY 11215County: KingsCountry: United StatesSingle or Primary Contact: Ariel ContrerasContact Phone: (917) 886-9741CLIA #: 33D0951813Tests: Community Screening Drugs of Abuse Glucose Hemoglobin Pregnancy Test (Urine) Urinalysis 08/13/2028 Mapleton PFI: L871Secondary Site ID: 0002Certification Type: WAIVERDirector: Roosevelt Cherubin, M.D.Phone: (718) 259-6122Fax: (718) 259-6728Address: 5923 Sixteenth Avenue, Brooklyn, NY 11204County: KingsCountry: United StatesSingle or Primary Contact: Ariel ContrerasContact Phone: (917) 886-9741CLIA #: 33D0951813Tests: Community Screening Drugs of Abuse Glucose Hemoglobin Pregnancy Test (Urine) Urinalysis 08/13/2028 Avenue U PFI: L871Secondary Site ID: 0001Certification Type: WAIVERDirector: Roosevelt Cherubin, M.D.Phone: (718) 372-0500Fax: (718) 946-1450Address: 98 Ave U, Brooklyn, NY 11223County: KingsCountry: United StatesSingle or Primary Contact: Ariel ContrerasContact Phone: (917) 886-9741CLIA #: 33D0951813Tests: Community Screening Drugs of Abuse Glucose Hemoglobin Pregnancy Test (Urine) Urinalysis 08/13/2028 Sabra Pharmacy PFI: L872Secondary Site ID: 0000Certification Type: WAIVERDirector: Sarah Sabra, Pharm.D.Phone: (347) 909-7116Fax: (347) 909-7117Address: 7002 3rd Ave, Brooklyn, NY 11209County: KingsCountry: United StatesSingle or Primary Contact: Sarah SabraContact Phone: (631) 933-5041CLIA #: 33D2341414Tests: COVID-19 ANTIGEN Cholesterol Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Triglycerides Urinalysis 04/06/2028 Hempstead Park Nursing Home PFI: L873Secondary Site ID: 0000Certification Type: WAIVERDirector: Naveed Hassan Akhtar, M.D.Phone: (516) 705-9700Fax: (516) 705-9705Address: 800 Front St, Hempstead, NY 11550County: NassauCountry: United StatesSingle or Primary Contact: David WendtContact Phone: (516) 815-8345CLIA #: 33D0153631Tests: 03/01/2027 Ford Motor Company Buffalo Stamping Plant PFI: L874Secondary Site ID: 0000Certification Type: WAIVERDirector: Gordon C. Steinagle, M.D.Phone: (716) 821-4250Fax: (716) 821-4350Address: 3663 Lake Shore Rd, Buffalo, NY 14219County: ErieCountry: United StatesSingle or Primary Contact: Debra ChavelContact Phone: (716) 821-4250CLIA #: 33D0953419Tests: Breath Alcohol Glucose Urinalysis 01/13/2028 La Providencia Family Health Center PFI: L878Secondary Site ID: 0001Certification Type: WAIVERDirector: Sherly Abraham, M.D.Phone: (718) 455-9000Fax: (718) 452-6112Address: 1280 Dekalb Avenue, Brooklyn, NY 11211County: KingsCountry: United StatesSingle or Primary Contact: Akeisha St. JohnContact Phone: (718) 452-1341CLIA #: 33D0953354Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis 07/17/2028 Family Medicine Center PFI: L878Secondary Site ID: 0004Certification Type: WAIVERDirector: Sherly Abraham, M.D.Phone: (718) 250-8212Fax: Address: 523 Fulton St, Brooklyn, NY 11201County: KingsCountry: United StatesSingle or Primary Contact: Akeisha St. JohnContact Phone: (718) 250-8212CLIA #: 33D0953354Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis 07/17/2028 Williamsburg Family Health Center PFI: L878Secondary Site ID: 0000Certification Type: WAIVERDirector: Sherly Abraham, M.D.Phone: (718) 599-6200Fax: (718) 599-1477Address: 99 Division Ave, Brooklyn, NY 11211County: KingsCountry: United StatesSingle or Primary Contact: Akeisha St. JohnContact Phone: (718) 599-1122CLIA #: 33D0953354Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis 07/17/2028 Suffolk County Correctional Facility Minimum Security Jail Med PFI: L888Secondary Site ID: 0011Certification Type: WAIVERDirector: Shaheda A. Iftikhar, M.D.Phone: (516) 852-4722Fax: (516) 852-5248Address: Yaphank Complex Yaphank Ave, Yaphank, NY 11980County: SuffolkCountry: United StatesSingle or Primary Contact: Dr. Shaheda IftikarContact Phone: (631) 852-1665CLIA #: 33D0954126Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 01/02/2027 WIC at Sun River Health Brentwood PFI: L888Secondary Site ID: 0012Certification Type: WAIVERDirector: Shaheda A. Iftikhar, M.D.Phone: (631) 853-3440Fax: (631) 853-2747Address: 1869 Brentwood Rd, Brentwood, NY 11717County: SuffolkCountry: United StatesSingle or Primary Contact: Dr. Shaheda IftikarContact Phone: (631) 853-8355CLIA #: 33D0954126Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 01/02/2027 Suffolk County Dept Hlth Svcs Huntington WIC at Dolan Family Hlth Ctr PFI: L888Secondary Site ID: 0013Certification Type: WAIVERDirector: Shaheda A. Iftikhar, M.D.Phone: (631) 854-4438Fax: (631) 854-4439Address: 1572 New York Avenue, Huntington Station, NY 11746County: SuffolkCountry: United StatesSingle or Primary Contact: Dr. Shaheda IftikarContact Phone: (631) 853-8355CLIA #: 33D0954126Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 01/02/2027 Coram WIC at Sun River Health Elsie Owens PFI: L888Secondary Site ID: 0015Certification Type: WAIVERDirector: Shaheda A. Iftikhar, M.D.Phone: (631) 854-2283Fax: (631) 854-2259Address: 82 Middle Country Road, Coram, NY 11727County: SuffolkCountry: United StatesSingle or Primary Contact: Dr. Shaheda IftikarContact Phone: (631) 853-8355CLIA #: 33D0954126Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 01/02/2027 WIC at Sun River Health Marilyn Shellabarger PFI: L888Secondary Site ID: 0005Certification Type: WAIVERDirector: Shaheda A. Iftikhar, M.D.Phone: (631) 852-1026Fax: (631) 852-1113Address: 550 Montauk Highway, Shirley, NY 11967County: SuffolkCountry: United StatesSingle or Primary Contact: Dr. Shaheda IftikarContact Phone: (631) 853-8355CLIA #: 33D0954126Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 01/02/2027 WIC at Sun River Maxine S. Postal PFI: L888Secondary Site ID: 0016Certification Type: WAIVERDirector: Shaheda A. Iftikhar, M.D.Phone: (631) 854-1033Fax: (631) 854-1167Address: 1080 Sunrise Highway, Amityville, NY 11701County: SuffolkCountry: United StatesSingle or Primary Contact: Dr. Shaheda IftikarContact Phone: (631) 853-8355CLIA #: 33D0954126Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 01/02/2027