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Syracuse Recovery Services LLC PFI: R258 Secondary Site ID: 0000 Certification Type: WAIVER Director: David S. Dinello, M.D. Phone: (315) 475-1771 Fax: (315) 475-4601 Address: 319 E Water St, Syracuse, NY 13202 County: Onondaga Country: United States Single or Primary Contact: Emily Forshee Contact Phone: (315) 475-1771 CLIA #: 33D2344547 Tests: Breath Alcohol Drugs of Abuse Ethanol Pregnancy Test (Urine)	05/27/2028	Print
ABC Medical Unit PFI: R260 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lori A. Schwartz, M.D. Phone: (212) 456-8655 Fax: (212) 456-8666 Address: 310 Hudson St - Rm 03E-202, New York, NY 10013 County: New York Country: United States Single or Primary Contact: Jandra Garcia Contact Phone: (212) 456-8652 CLIA #: 33D1042732 Tests: Glucose Strep A Test Urinalysis	05/23/2028	Print
Morgan Stanley Health Center PFI: R261 Secondary Site ID: 0000 Certification Type: PPMP Director: Ellen P Nadel, N.P. Phone: (212) 276-0259 Fax: (646) 536-3912 Address: 1 New York Plaza - 3rd Fl, New York, NY 10004 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D1042723 Tests: COVID-19 ANTIGEN Cholesterol Community Screening Direct Wet Mount Preps Glucose HDL Cholesterol Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Triglycerides Urinalysis	07/06/2027	Print
Trinity Medical Primary Care PFI: R262 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sandra D Yale, D.O. Phone: (716) 817-9961 Fax: (716) 961-2228 Address: 5196 Genesee St, Bowmansville, NY 14026 County: Erie Country: United States Single or Primary Contact: Robyn Tolsma Contact Phone: (716) 860-8106 CLIA #: 33D2344667 Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis	05/27/2028	Print
West Midtown Medical Group PFI: R263 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elizabeth Wilson, M.D. Phone: (212) 736-5900 Fax: (212) 290-2724 Address: 311 W 35th St, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Laura Mauroldo Contact Phone: (212) 736-5900 CLIA #: 33D0949958 Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis	07/18/2027	Print
Trinity Medical Primary Care PFI: R265 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kenyani Shareen Davis, M.D. Phone: (716) 204-1970 Fax: (716) 961-4281 Address: 1360 N Forrest Rd, Williamsville, NY 14221 County: Erie Country: United States Single or Primary Contact: Robyn Tolsma Contact Phone: (716) 860-8106 CLIA #: 33D2344668 Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis	05/27/2028	Print
CRD Associates LLC PFI: R275 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ljubise Micic, M.D. Phone: (718) 886-0700 Fax: (718) 888-0499 Address: 119-19 Graham Court, Flushing, NY 11354 County: Queens Country: United States Single or Primary Contact: Shmuel Freedman Contact Phone: (718) 886-0700 CLIA #: 33D1043951 Tests: Glucose Occult Blood Urinalysis	02/26/2028	Print
Northside Fire District PFI: R277 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bruce S. Ushkow, M.D. Phone: (518) 235-4609 Fax: (518) 235-5830 Address: 85 Saratoga Avenue, Waterford, NY 12188 County: Saratoga Country: United States Single or Primary Contact: William J McCormick Contact Phone: (518) 369-0711 CLIA #: 33D1045143 Tests: Glucose	02/09/2026	Print
Orange County Department of Health PFI: R282 Secondary Site ID: 0000 Certification Type: PPMP Director: Marina Keller, M.D. Phone: (845) 568-5333 Fax: (845) 568-5356 Address: 130 Broadway, Newburgh, NY 12550 County: Orange Country: United States Single or Primary Contact: Cecelia Jordan Contact Phone: (845) 360-6588 CLIA #: 33D1044608 Tests: Community Screening Direct Wet Mount Preps Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Syphilis Antibodies	08/05/2027	Print
Orange County Department of Health PFI: R282 Secondary Site ID: 0003 Certification Type: PPMP Director: Marina Keller, M.D. Phone: (845) 346-1113 Fax: (845) 346-0766 Address: 18 Seward Avenue, Middletown, NY 10940 County: Orange Country: United States Single or Primary Contact: Cecelia Jordan Contact Phone: (845) 291-2330 CLIA #: 33D1044608 Tests: Community Screening Direct Wet Mount Preps Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Syphilis Antibodies	08/05/2027	Print
FACES NY Inc PFI: R285 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alfred O Fayemi, M.D. Phone: (212) 283-9180 Fax: (212) 663-4310 Address: 123 W 115th St, New York, NY 10026 County: New York Country: United States Single or Primary Contact: Hondo Martinez Contact Phone: (212) 663-7772 CLIA #: 33D1046942 Tests: Community Screening HCV, Rapid HIV, Rapid Syphilis Antibodies	02/27/2028	Print
Project Hospitality Inc PFI: R286 Secondary Site ID: 0000 Certification Type: WAIVER Director: Emmanuel Ahipue, N.P. Phone: (718) 273-8409 Fax: (718) 273-5265 Address: 14 Slosson Terrace, Staten Island, NY 10304 County: Richmond Country: United States Single or Primary Contact: Gale Alwill Contact Phone: (718) 448-1544 CLIA #: 33D1046906 Tests: Drugs of Abuse Glucose Pregnancy Test (Urine) HCV, Rapid HIV, Rapid	06/09/2027	Print
Project Hospitality PFI: R286 Secondary Site ID: 0002 Certification Type: WAIVER Director: Emmanuel Ahipue, N.P. Phone: (718) 447-3293 Fax: Address: 75 Vanderbilt Avenue, Staten Island, NY 10310 County: Richmond Country: United States Single or Primary Contact: Gale Alwill Contact Phone: (718) 448-1544 CLIA #: 33D1046906 Tests: Drugs of Abuse Glucose Pregnancy Test (Urine) HCV, Rapid HIV, Rapid	06/09/2027	Print
Project Hospitality PFI: R286 Secondary Site ID: 0001 Certification Type: WAIVER Director: Emmanuel Ahipue, N.P. Phone: (718) 273-8409 Fax: Address: 14 Slosson Terrace, Staten Island, NY 10301 County: Richmond Country: United States Single or Primary Contact: Gale Alwill Contact Phone: (718) 448-1544 CLIA #: 33D1046906 Tests: Drugs of Abuse Glucose Pregnancy Test (Urine) HCV, Rapid HIV, Rapid	06/09/2027	Print
Highland Care Center Inc PFI: R287 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peyman E Younesi, M.D. Phone: (718) 657-6363 Fax: (718) 577-4254 Address: 91-31 175th St, Jamaica, NY 11432 County: Queens Country: United States Single or Primary Contact: Andrea Gibbon Contact Phone: (718) 657-6363 CLIA #: 33D1046908 Tests: Glucose COVID-19 MOLECULAR	10/24/2027	Print
City of Rochester Fire Department PFI: R288 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 428-6739 Fax: Address: 185 Exchange Blvd - Ste 665, Rochester, NY 14614 County: Monroe Country: United States Single or Primary Contact: Connor Smith Contact Phone: (585) 208-3300 CLIA #: 33D2345648 Tests: Glucose	06/17/2028	Print
Rochester Fire Department Engine 12 PFI: R288 Secondary Site ID: 0010 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 428-5960 Fax: Address: 160 Wisconsin St, Rochester, NY 14609 County: Monroe Country: United States Single or Primary Contact: Connor Smith Contact Phone: (585) 428-5960 CLIA #: 33D2345648 Tests: Glucose	06/17/2028	Print
Rochester Fire Department Engine 5 PFI: R288 Secondary Site ID: 0006 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 428-5953 Fax: Address: 450 Lyell Ave, Rochester, NY 14606 County: Monroe Country: United States Single or Primary Contact: Connor Smith Contact Phone: (585) 428-5953 CLIA #: 33D2345648 Tests: Glucose	06/17/2028	Print
Rochester Fire Department Engine 7 PFI: R288 Secondary Site ID: 0007 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 428-5955 Fax: Address: 873 Genesee St, Rochester, NY 14611 County: Monroe Country: United States Single or Primary Contact: Connor Smith Contact Phone: (585) 428-5955 CLIA #: 33D2345648 Tests: Glucose	06/17/2028	Print
Rochester Fire Department Truck 5 PFI: R288 Secondary Site ID: 0005 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 428-5964 Fax: Address: 57 Gardiner Ave, Rochester, NY 14611 County: Monroe Country: United States Single or Primary Contact: Connor Smith Contact Phone: (585) 428-5964 CLIA #: 33D2345648 Tests: Glucose	06/21/2028	Print

Syracuse Recovery Services LLC

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ABC Medical Unit

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Morgan Stanley Health Center

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Trinity Medical Primary Care

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West Midtown Medical Group

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Trinity Medical Primary Care

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CRD Associates LLC

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Northside Fire District

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Orange County Department of Health

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Orange County Department of Health

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FACES NY Inc

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Project Hospitality Inc

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Project Hospitality

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Project Hospitality

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Highland Care Center Inc

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City of Rochester Fire Department

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Rochester Fire Department Engine 12

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Rochester Fire Department Engine 5

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Rochester Fire Department Engine 7

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Rochester Fire Department Truck 5

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