Green Family Health NP PC PFI: H480Secondary Site ID: 0000Certification Type: WAIVERDirector: Sung Hee Kam, N.P.Phone: (929) 460-4860Fax: Address: 15301 Northern Blvd - Ste 2F, Flushing, NY 11354County: QueensCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2335398Tests: COVID-19 ANTIGEN Glucose Influenza Pregnancy Test (Urine) Strep A Test Urinalysis 12/12/2027 Bayville Fire Company No 1 PFI: H481Secondary Site ID: 0000Certification Type: WAIVERDirector: Joseph N. Savasta, M.D.Phone: (516) 628-1922Fax: (516) 628-7341Address: 258 Bayville Ave, Bayville, NY 11709County: NassauCountry: United StatesSingle or Primary Contact: Mario P OrlassinoContact Phone: (516) 790-1352CLIA #: 33D2336471Tests: 01/07/2028 Demattis Cardiovascular Imaging Center PFI: H482Secondary Site ID: 0000Certification Type: WAIVERDirector: Omar K Khalique, M.D.Phone: (516) 563-7930Fax: Address: 2200 Northern Blvd - Ste 114, Greenvale, NY 11548County: NassauCountry: United StatesSingle or Primary Contact: Jeanette BuccelloContact Phone: (516) 563-7930CLIA #: 33D2336472Tests: Glucose Pregnancy Test (Urine) 01/06/2028 Integrated Wellness NP in Adult Health PC PFI: H483Secondary Site ID: 0000Certification Type: WAIVERDirector: Meghan J Fuschino, N.P.Phone: (516) 280-9600Fax: (516) 280-9599Address: 990 Stewart Ave - Ste LL30, Garden City, NY 11530County: NassauCountry: United StatesSingle or Primary Contact: Erin RandazzoContact Phone: (516) 280-9600CLIA #: 33D2335309Tests: 12/12/2027 WPHPA of Yorktown East PFI: H484Secondary Site ID: 0000Certification Type: WAIVERDirector: Baljit Singh, M.D.Phone: (914) 849-3300Fax: (914) 849-2951Address: 2651 Strang Blvd, Yorktown Heights, NY 10598County: WestchesterCountry: United StatesSingle or Primary Contact: Tina MejiaContact Phone: (914) 681-2793CLIA #: 33D2335310Tests: 01/02/2028 Hurley Ambulance Services Inc PFI: H485Secondary Site ID: 0000Certification Type: WAIVERDirector: Matthew A Stupple, M.D.Phone: (845) 383-1093Fax: Address: 33 Basin Rd - Ste 2, West Hurley, NY 12491County: UlsterCountry: United StatesSingle or Primary Contact: Kent FitzgeraldContact Phone: (845) 383-1093CLIA #: 33D2340479Tests: 03/25/2028 Woodside ASC LLC PFI: H486Secondary Site ID: 0000Certification Type: WAIVERDirector: Chuansheng Wang, M.D.Phone: (718) 309-8675Fax: (718) 400-8515Address: 69-28 Queens Blvd, Woodside, NY 11377County: QueensCountry: United StatesSingle or Primary Contact: Grace ChenContact Phone: (718) 507-8866CLIA #: 33D2335311Tests: Glucose Pregnancy Test (Urine) 12/12/2027 Alert Engine Hook Ladder and Hose Co No 1 Inc PFI: H487Secondary Site ID: 0000Certification Type: WAIVERDirector: Sanford M Ratner, M.D.Phone: (516) 487-1057Fax: (516) 487-1045Address: 555 Middle Neck Rd, Great Neck, NY 11023County: NassauCountry: United StatesSingle or Primary Contact: Elliot PaimanyContact Phone: (516) 423-3737CLIA #: 33D2335312Tests: 12/12/2027 Employee Health and Wellness Center PFI: H488Secondary Site ID: 0000Certification Type: WAIVERDirector: Sadaf S Sheikh, M.D.Phone: (718) 869-7695Fax: (718) 869-8592Address: 347 Beach 19th St, Far Rockaway, NY 11691County: QueensCountry: United StatesSingle or Primary Contact: Errol McKenzieContact Phone: (718) 869-7335CLIA #: 33D2335313Tests: 12/12/2027 Darien Center Chemical Fire Co Inc PFI: H489Secondary Site ID: 0000Certification Type: WAIVERDirector: Erik P Peterson, D.O.Phone: (585) 547-1674Fax: Address: 10537 Alleghany Rd, Darien Lake, NY 14040County: GeneseeCountry: United StatesSingle or Primary Contact: Gary SaraceniContact Phone: (585) 356-8842CLIA #: 33D2336473Tests: 01/07/2028 Mecklenburg Volunteer Fire Company PFI: H490Secondary Site ID: 0000Certification Type: WAIVERDirector: Drew A Koch, D.O.Phone: (607) 339-6621Fax: Address: 4495 County Rte 6, Mecklenburg, NY 14863County: SchuylerCountry: United StatesSingle or Primary Contact: Kimberly BeckleyContact Phone: (607) 339-6621CLIA #: 33D2337008Tests: 06/03/2028 Groton Fire Department PFI: H491Secondary Site ID: 0000Certification Type: WAIVERDirector: David D Wirtz, M.D.Phone: (607) 898-3135Fax: Address: 308 Main St, Groton, NY 13073County: TompkinsCountry: United StatesSingle or Primary Contact: Michael LockwoodContact Phone: (607) 423-8997CLIA #: 33D2337983Tests: 02/11/2028 Cape Vincent Ambulance Squad Inc PFI: H492Secondary Site ID: 0000Certification Type: WAIVERDirector: Maja L Lunborg-Gray, M.D.Phone: (315) 804-5769Fax: (315) 501-4012Address: 170 W Broadway St, Cape Vincent, NY 13618County: JeffersonCountry: United StatesSingle or Primary Contact: William LipczynskiContact Phone: (315) 767-5811CLIA #: 33D2337121Tests: 01/28/2028 UA Local 7 Wellness Center PFI: H493Secondary Site ID: 0000Certification Type: WAIVERDirector: Aileen B Fitzpatrick, N.P.Phone: (518) 246-3210Fax: Address: 713 Troy-Schenectady Rd - Ste 133, Latham, NY 12110County: AlbanyCountry: United StatesSingle or Primary Contact: Stacey RodgersContact Phone: (463) 219-9697CLIA #: 33D2336474Tests: COVID-19 ANTIGEN Bacterial Vaginosis, Rapid Cholesterol Glucose HDL Cholesterol Hemoglobin Influenza LDL Cholesterol Mononucleosis Pregnancy Test (Urine) Trichomonas, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Triglycerides Urinalysis 01/28/2028 GE Vernova Occupation Health and Wellness Center PFI: H494Secondary Site ID: 0000Certification Type: WAIVERDirector: David D Blemings, N.P.Phone: (518) 385-7011Fax: Address: 1 River Rd - Bldg 43-2, Schenectady, NY 12345County: SchenectadyCountry: United StatesSingle or Primary Contact: Stacey RodgersContact Phone: (463) 219-9697CLIA #: 33D2336475Tests: COVID-19 ANTIGEN Bacterial Vaginosis, Rapid Breath Alcohol Cholesterol Drugs of Abuse Glucose HDL Cholesterol Hemoglobin Influenza LDL Cholesterol Mononucleosis Pregnancy Test (Urine) Trichomonas, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Triglycerides Urinalysis 01/07/2028 The Chautauqua Center Olean PFI: H495Secondary Site ID: 0000Certification Type: PPMPDirector: Tat-Sum Lee, M.D.Phone: (716) 373-8870Fax: (716) 363-2067Address: 2646 W State St - Ste 405, Olean, NY 14760County: CattaraugusCountry: United StatesSingle or Primary Contact: Rebecca RuizContact Phone: (716) 363-6046CLIA #: 33D0904367Tests: Direct Wet Mount Preps Potassium Hydroxide (KOH Preps) 05/27/2028 Onsite Compliance Group LLC PFI: H496Secondary Site ID: 0000Certification Type: WAIVERDirector: Rashid J Tamimie, M.D.Phone: (855) 889-9995Fax: (855) 631-0832Address: 6143 Jericho Tpke - Ste 205, Commack, NY 11725County: SuffolkCountry: United StatesSingle or Primary Contact: Ronney ThomasContact Phone: (855) 889-9995CLIA #: 33D2336476Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Ethanol Glucose Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid Saliva Alcohol COVID-19 ANTIBODY Strep A Test Urinalysis 01/07/2028 Rego Park Counseling LLC PFI: H497Secondary Site ID: 0000Certification Type: WAIVERDirector: Raul A Ulloa, M.D.Phone: (718) 839-2050Fax: (718) 839-2166Address: 71-82 Parsons Blvd, Fresh Meadows, NY 11365County: QueensCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2336480Tests: COVID-19 ANTIGEN Community Screening Glucose Occult Blood Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Strep A Test Urinalysis 01/07/2028 Vista Fire District No 1 PFI: H498Secondary Site ID: 0000Certification Type: WAIVERDirector: David N Zuckerberg, M.D.Phone: (914) 533-2727Fax: (914) 533-2853Address: 377 Smith Ridge Rd, South Salem, NY 10590County: WestchesterCountry: United StatesSingle or Primary Contact: Brian PorcoContact Phone: (914) 533-2727CLIA #: 33D2339843Tests: 03/16/2028 Milan Volunteer Fire Dept Inc dba Milan Rescue Squad PFI: H499Secondary Site ID: 0000Certification Type: WAIVERDirector: Paige M Reinfeld, D.O.Phone: (845) 758-9911Fax: Address: 119 North Rd, Milan, NY 12571County: DutchessCountry: United StatesSingle or Primary Contact: Stephanie FitzpatrickContact Phone: (845) 464-0724CLIA #: 33D2351615Tests: 09/30/2028