South Shore Clinic PFI: F204Secondary Site ID: 0001Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (631) 309-6811Fax: (631) 292-6898Address: 1448 5th Ave, Bay Shore, NY 11706County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 935-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Family Service League DASH PFI: F204Secondary Site ID: 0000Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (734) 223-6513Fax: (631) 656-1322Address: 90 Adams Ave, Hauppauge, NY 11788County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 396-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Mount Sinai Doctors - Astoria PFI: F205Secondary Site ID: 0000Certification Type: WAIVERDirector: Stephen K Sigworth, M.D.Phone: (718) 808-7777Fax: (718) 808-7755Address: 25-20 30th Ave, Astoria, NY 11102County: QueensCountry: United StatesSingle or Primary Contact: Dolly ChoyContact Phone: (929) 505-4341CLIA #: 33D2258488Tests: Community Screening Glucose Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 05/18/2028 Brooklyn Comprehensive Care Center Inc PFI: F207Secondary Site ID: 0000Certification Type: WAIVERDirector: Arkadiy Shusterman, D.O.Phone: (718) 333-2500Fax: (718) 265-2714Address: 7608 Bay Pkwy - Suites B and C, Brooklyn, NY 11214County: KingsCountry: United StatesSingle or Primary Contact: Arkady StarovoytContact Phone: (646) 704-3485CLIA #: 33D0993397Tests: Glucose Occult Blood Pregnancy Test (Urine) Urinalysis 04/11/2028 Addictions Care Center of Albany PFI: F209Secondary Site ID: 0003Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 269-3494Fax: (518) 269-3493Address: 111 McCarty Ave, Albany, NY 12202County: AlbanyCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany PFI: F209Secondary Site ID: 0000Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 465-5470Fax: (518) 463-1880Address: 90 McCarty Ave, Albany, NY 12202County: AlbanyCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: (518) 465-5470CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany-Troy Residence PFI: F209Secondary Site ID: 0005Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 407-0562Fax: (518) 463-1880Address: 504 2nd Ave, Troy, NY 12182County: RensselaerCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany - Queensbury PFI: F209Secondary Site ID: 0001Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 407-0564Fax: (518) 681-3726Address: 79 Glenwood Ave, Queensbury, NY 12804County: WarrenCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany PFI: F209Secondary Site ID: 0002Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 434-2367Fax: Address: 1044 Broadway, Albany, NY 12204County: AlbanyCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany-Queensbury Men's Residence PFI: F209Secondary Site ID: 0004Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 407-0563Fax: (518) 269-3493Address: 68 Quaker Rd, Queensbury, NY 12804County: WarrenCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 City of Olean Ambulance Service PFI: F210Secondary Site ID: 0000Certification Type: WAIVERDirector: Brian M Walters, D.O.Phone: (716) 376-5609Fax: (716) 376-5681Address: 542 N Union St, Olean, NY 14760County: CattaraugusCountry: United StatesSingle or Primary Contact: Nathan VenoContact Phone: (716) 376-5609CLIA #: 33D2256983Tests: 04/13/2028 Elmcare Dialysis PFI: F212Secondary Site ID: 0000Certification Type: WAIVERDirector: Jeny Varghese, M.D.Phone: (929) 895-7482Fax: (929) 895-7023Address: 79-21 Queens Blvd, Elmhurst, NY 11373County: QueensCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2256991Tests: 04/13/2028 Main Street Radiology at Bayside LLC PFI: F214Secondary Site ID: 0000Certification Type: WAIVERDirector: Ari I. Jonisch, M.D.Phone: (718) 428-1500Fax: (718) 661-1305Address: 136-25 37th Ave, Flushing, NY 11354County: QueensCountry: United StatesSingle or Primary Contact: Steven KozakContact Phone: (718) 428-1500CLIA #: 33D2256995Tests: Blood Urea Nitrogen (BUN) Creatinine Glucose 04/13/2028 St Catherine of Siena Gastroenterology PFI: F218Secondary Site ID: 0000Certification Type: WAIVERDirector: Kanika Kaur, M.D.Phone: (631) 360-4000Fax: (631) 360-4100Address: 48 Rte 25A - Suite 105, Smithtown, NY 11787County: SuffolkCountry: United StatesSingle or Primary Contact: Danielle ArmstrongContact Phone: (631) 360-4000CLIA #: 33D2257001Tests: Glucose Pregnancy Test (Urine) 04/13/2028 Westons Mills Fire District PFI: F221Secondary Site ID: 0000Certification Type: WAIVERDirector: Brian M Walters, D.O.Phone: (716) 372-1995Fax: (716) 372-7632Address: 1310 Olean-Portville Rd, Westons Mills, NY 14788County: CattaraugusCountry: United StatesSingle or Primary Contact: Timothy RichardsonContact Phone: (716) 307-6039CLIA #: 33D2257004Tests: 04/13/2028 Cohen Clinic for Children and Families PFI: F227Secondary Site ID: 0000Certification Type: WAIVERDirector: Sandra Rolston, M.D.Phone: (646) 459-6060Fax: (646) 659-6082Address: 1841 Park Ave, New York, NY 10035County: New YorkCountry: United StatesSingle or Primary Contact: MaryKelly McCarthyContact Phone: (929) 303-8332CLIA #: 33D2348710Tests: Glucose Influenza Pregnancy Test (Urine) Strep A Test Urinalysis 09/09/2028 Cattaraugus County Jail PFI: F228Secondary Site ID: 0000Certification Type: WAIVERDirector: Brian M Walters, D.O.Phone: (716) 938-2337Fax: (716) 938-2780Address: 301 Court St, Little Valley, NY 14755County: CattaraugusCountry: United StatesSingle or Primary Contact: Brian PittsContact Phone: (716) 938-2337CLIA #: 33D2257834Tests: Drugs of Abuse Glucose Occult Blood Pregnancy Test (Urine) HCV, Rapid 04/13/2028 City Medical of Upper East Side PLLC PFI: F231Secondary Site ID: 0000Certification Type: WAIVERDirector: Dmitry Volfson, D.O.Phone: (914) 219-0187Fax: (914) 219-0182Address: 108 South Ridge St, Rye Brook, NY 10573County: WestchesterCountry: United StatesSingle or Primary Contact: Ilana KantorContact Phone: (908) 588-3700CLIA #: 33D2257839Tests: COVID-19 ANTIGEN Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 05/16/2028 City of Salamanca Ambulance Service PFI: F234Secondary Site ID: 0000Certification Type: WAIVERDirector: Brian M Walters, D.O.Phone: (716) 945-3311Fax: (716) 265-0293Address: 225 Wildwood Ave, Salamanca, NY 14779County: CattaraugusCountry: United StatesSingle or Primary Contact: Tom SturdevantContact Phone: (716) 378-6297CLIA #: 33D2257842Tests: 04/13/2028 Custom Care Services LLC PFI: F235Secondary Site ID: 0000Certification Type: WAIVERDirector: Shiva Golshan, P.A.Phone: (718) 216-5867Fax: Address: 423 Ave N, Brooklyn, NY 11230County: KingsCountry: United StatesSingle or Primary Contact: Shiva GolshanContact Phone: (718) 216-5867CLIA #: 33D2258499Tests: COVID-19 ANTIGEN Influenza Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 05/16/2028