Tremont Community Health Center Of Excellence PFI: N360Secondary Site ID: 0007Certification Type: WAIVERDirector: Faisal M Huq Ronny, M.D., Ph.D.Phone: (646) 303-0567Fax: (718) 960-7037Address: 1920 Webster Ave, Bronx, NY 10457County: BronxCountry: United StatesSingle or Primary Contact: Tshering SherpaContact Phone: (443) 373-3591CLIA #: 33D0726277Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 02/03/2027 Morrisania Neighborhood Family Care Center(NFHC) PFI: N360Secondary Site ID: 0000Certification Type: WAIVERDirector: Faisal M Huq Ronny, M.D., Ph.D.Phone: (718) 960-2781Fax: (718) 960-2619Address: 1225 Gerard Ave, Bronx, NY 10452County: BronxCountry: United StatesSingle or Primary Contact: Tshering SherpaContact Phone: (443) 373-3591CLIA #: 33D0726277Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 02/03/2027 St Joseph's Neighborhood Center PFI: N373Secondary Site ID: 0000Certification Type: WAIVERDirector: Thomas Wong, D.O.Phone: (585) 325-5260Fax: (585) 325-3017Address: 417 South Ave, Rochester, NY 14620County: MonroeCountry: United StatesSingle or Primary Contact: Jennifer SahrleContact Phone: (585) 325-5260CLIA #: 33D0891416Tests: COVID-19 ANTIGEN Community Screening Influenza Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 04/19/2028 The Enclave at Rye Rehabilitation and Nursing Center PFI: N374Secondary Site ID: 0000Certification Type: WAIVERDirector: Radim Jacob, M.D.Phone: (914) 937-1200Fax: (914) 937-1145Address: 1000 High St, Port Chester, NY 10573County: WestchesterCountry: United StatesSingle or Primary Contact: Jacob BarberContact Phone: (914) 937-1200CLIA #: 33D0720797Tests: 11/01/2027 Central Island Healthcare PFI: N380Secondary Site ID: 0000Certification Type: WAIVERDirector: Olaf Z Butchma, D.O.Phone: (516) 433-0600Fax: (516) 433-5512Address: 825 Old Country Rd, Plainview, NY 11803County: NassauCountry: United StatesSingle or Primary Contact: Cathie DoyleContact Phone: (516) 433-0600CLIA #: 33D0665231Tests: 11/01/2027 Betsy Ross Nursing and Rehabilitation Center PFI: N381Secondary Site ID: 0000Certification Type: WAIVERDirector: Barbara L Jeffers, M.D.Phone: (315) 339-2220Fax: (315) 339-1592Address: 1 Elsie St, Rome, NY 13440County: OneidaCountry: United StatesSingle or Primary Contact: Kasandra MarreroContact Phone: (315) 339-2220CLIA #: 33D0874636Tests: COVID-19 ANTIGEN Community Screening Glucose Urinalysis 04/05/2028 Poughkeepsie Crossings LLC DBA The Pines at Poughkeepsie PFI: N382Secondary Site ID: 0000Certification Type: WAIVERDirector: Albert L. Riddle, M.D.Phone: (845) 454-4100Fax: (845) 454-4175Address: 100 Franklin St, Poughkeepsie, NY 12601County: DutchessCountry: United StatesSingle or Primary Contact: Nydia ParesContact Phone: (845) 454-4100CLIA #: 33D0669253Tests: COVID-19 ANTIGEN Anion Gap Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Creatinine Glucose Hemoglobin Hematocrit Influenza Occult Blood Potassium Protime RSV (Respiratory Syncytial Virus) Sodium Urinalysis 04/05/2028 Woodside Manor Nursing Home Inc PFI: N387Secondary Site ID: 0000Certification Type: WAIVERDirector: Steven Buslovich, M.D.Phone: (585) 461-0370Fax: (585) 461-5897Address: 2425 Clinton Ave South, Rochester, NY 14618County: MonroeCountry: United StatesSingle or Primary Contact: Alaina MaleyContact Phone: (585) 461-0370CLIA #: 33D0663292Tests: COVID-19 ANTIGEN Glucose Occult Blood 04/22/2028 Union Community Health Center PFI: N388Secondary Site ID: 0000Certification Type: WAIVERDirector: Jae K Ahn, M.D.Phone: (718) 220-2020Fax: (718) 960-6290Address: 260 E 188th St, Bronx, NY 10458County: BronxCountry: United StatesSingle or Primary Contact: Anne SpellmanContact Phone: (718) 220-2020CLIA #: 33D0992137Tests: COVID-19 ANTIGEN Blood Lead Community Screening Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid COVID-19 ANTIBODY Strep A Test Urinalysis 10/06/2027 Union Community Health Center PFI: N388Secondary Site ID: 0002Certification Type: WAIVERDirector: Jae K Ahn, M.D.Phone: (718) 901-9500Fax: (718) 960-6290Address: 2021 Grand Concourse, Bronx, NY 10453County: BronxCountry: United StatesSingle or Primary Contact: Anne SpellmanContact Phone: 71896095009570CLIA #: 33D0992137Tests: COVID-19 ANTIGEN Blood Lead Community Screening Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid COVID-19 ANTIBODY Strep A Test Urinalysis 10/06/2027 Union Community Health Center PFI: N388Secondary Site ID: 0005Certification Type: WAIVERDirector: Jae K Ahn, M.D.Phone: (929) 746-0356Fax: (718) 618-8111Address: 521 W 239th St, Bronx, NY 10463County: BronxCountry: United StatesSingle or Primary Contact: Anne SpellmanContact Phone: (718) 618-8236CLIA #: 33D0992137Tests: COVID-19 ANTIGEN Blood Lead Community Screening Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid COVID-19 ANTIBODY Strep A Test Urinalysis 10/06/2027 Union Community Health Center PFI: N388Secondary Site ID: 0004Certification Type: WAIVERDirector: Jae K Ahn, M.D.Phone: (929) 375-3400Fax: Address: 2016 Bronxdale Ave, Bronx, NY 10462County: BronxCountry: United StatesSingle or Primary Contact: Anne SpellmanContact Phone: (718) 618-8236CLIA #: 33D0992137Tests: COVID-19 ANTIGEN Blood Lead Community Screening Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid COVID-19 ANTIBODY Strep A Test Urinalysis 10/06/2027 The Friendly Home PFI: N389Secondary Site ID: 0000Certification Type: WAIVERDirector: Scott L Schabel, M.D.Phone: (585) 381-1600Fax: (585) 789-3193Address: 3156 East Ave, Rochester, NY 14618County: MonroeCountry: United StatesSingle or Primary Contact: Debra LesterContact Phone: (585) 789-3031CLIA #: 33D0173164Tests: COVID-19 ANTIGEN Glucose Occult Blood COVID-19 MOLECULAR 08/07/2028 Seaview Hospital Rehabilitation Center and Home PFI: N391Secondary Site ID: 0000Certification Type: WAIVERDirector: Salwa M Gerges, M.D.Phone: (718) 317-3000Fax: (718) 317-3867Address: 460 Brielle Ave, Staten Island, NY 10314County: RichmondCountry: United StatesSingle or Primary Contact: Salwa Gerges, M.D.Contact Phone: (718) 317-3267CLIA #: 33D0135575Tests: 04/15/2028 Villa of Hope - Stevens Cenyter for Behavioral Health PFI: N392Secondary Site ID: 0005Certification Type: WAIVERDirector: Timothy J Wiegand, M.D.Phone: (585) 581-4680Fax: (585) 865-5219Address: 3302 Dewey Ave, Rochester, NY 14616County: MonroeCountry: United StatesSingle or Primary Contact: Stephanie Brabham-BrownContact Phone: (585) 705-2029CLIA #: 33D0172989Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Hemoglobin Hematocrit Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 04/05/2028 Villa of Hope School PFI: N392Secondary Site ID: 0003Certification Type: WAIVERDirector: Timothy J Wiegand, M.D.Phone: (585) 865-1550Fax: (585) 865-9334Address: 3300 Dewey Ave, Rochester, NY 14616County: MonroeCountry: United StatesSingle or Primary Contact: Stephanie Brabham-BrownContact Phone: 5858651550721CLIA #: 33D0172989Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Hemoglobin Hematocrit Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 04/05/2028 Villa of Hope PFI: N392Secondary Site ID: 0000Certification Type: WAIVERDirector: Timothy J Wiegand, M.D.Phone: (585) 865-1550Fax: (585) 865-0048Address: 3300 Dewey Ave, Rochester, NY 14616County: MonroeCountry: United StatesSingle or Primary Contact: Stephanie Brabham-BrownContact Phone: (585) 865-1550CLIA #: 33D0172989Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Hemoglobin Hematocrit Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 04/05/2028 Villa of Hope Outpatient Behavior Health PFI: N392Secondary Site ID: 0002Certification Type: WAIVERDirector: Timothy J Wiegand, M.D.Phone: (585) 328-0834Fax: (585) 436-0103Address: 1099 Jay St - Bldg P, Rochester, NY 14611County: MonroeCountry: United StatesSingle or Primary Contact: Stephanie Brabham-BrownContact Phone: (585) 865-1550CLIA #: 33D0172989Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Hemoglobin Hematocrit Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 04/05/2028 Living Hope Treatment Center PFI: N392Secondary Site ID: 0004Certification Type: WAIVERDirector: Timothy J Wiegand, M.D.Phone: (585) 295-6916Fax: (585) 754-9175Address: 3300 Dewey Ave, Rochester, NY 14616County: MonroeCountry: United StatesSingle or Primary Contact: Stephanie Brabham-BrownContact Phone: (585) 865-1550CLIA #: 33D0172989Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Hemoglobin Hematocrit Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 04/05/2028 Blossom Health Care Center PFI: N394Secondary Site ID: 0000Certification Type: WAIVERDirector: Yehuda L Nussbaum, D.O.Phone: (585) 482-3500Fax: (585) 482-3248Address: 989 Blossom Road, Rochester, NY 14610County: MonroeCountry: United StatesSingle or Primary Contact: Mendel PolterContact Phone: (585) 482-3500CLIA #: 33D0172818Tests: COVID-19 ANTIGEN Community Screening Glucose Occult Blood 11/01/2027