Bon Secours Medical Group PFI: W994Secondary Site ID: 0013Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 856-3323Fax: (845) 856-6107Address: 32 Canal St, Port Jervis, NY 12771County: OrangeCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 856-3323CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Bon Secours Medical Group PFI: W994Secondary Site ID: 0014Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 782-6092Fax: (845) 782-7926Address: 505 Rte 208 - Suite 27, Monroe, NY 10950County: OrangeCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 782-6092CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Bon Secours Medical Group PFI: W994Secondary Site ID: 0015Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 291-0966Fax: (845) 291-0983Address: 1 Hatfield Lane - Suite 1B, Goshen, NY 10924County: OrangeCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 291-0966CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Nanuet Medical PFI: W994Secondary Site ID: 0017Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 623-2456Fax: Address: 36 College Ave, Nanuet, NY 10954County: RocklandCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 623-2456CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Rockland Pulmonary and Medical Associates PFI: W994Secondary Site ID: 0009Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 353-5600Fax: Address: 27 Liberty Square Mall, Stony Point, NY 10980County: RocklandCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 368-5575CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Metropolitan Cardiology Consultants PFI: W994Secondary Site ID: 0007Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 294-7510Fax: (845) 294-7982Address: 30 Hatfield Lane - Suite 209, Goshen, NY 10924County: RocklandCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 368-5575CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Bon Secours Medical Group PFI: W994Secondary Site ID: 0006Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 589-0664Fax: (845) 589-0665Address: 124 Ramapo Rd, Garnerville, NY 10923County: RocklandCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 368-5575CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Bon Secours Medical Group PFI: W994Secondary Site ID: 0004Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 368-0660Fax: (845) 368-1357Address: 2 Executive Blvd - Suite 406, Suffern, NY 10901County: RocklandCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 368-5575CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Bon Secours Charity Health System Medical Group PFI: W994Secondary Site ID: 0002Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 782-1714Fax: (845) 782-6648Address: 745 Rte 17M - Suite 202, Monroe, NY 10950County: RocklandCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 368-5575CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Bon Secours Medical Group PFI: W994Secondary Site ID: 0001Certification Type: WAIVERDirector: Scott A Bernstein, M.D.Phone: (845) 353-5600Fax: (804) 261-4904Address: 257 Lafayette Ave - Suite 340, Suffern, NY 10901County: RocklandCountry: United StatesSingle or Primary Contact: Corey DeixlerContact Phone: (845) 368-5575CLIA #: 33D1082843Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/26/2027 Westchester Home Training PFI: W995Secondary Site ID: 0000Certification Type: WAIVERDirector: Osahon Ukponmwan, M.D.Phone: (914) 237-7659Fax: (914) 237-7894Address: 955 Yonkers Ave - Ste 201, Yonkers, NY 10704County: WestchesterCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2129956Tests: 05/15/2027 Mount Sinai Doctors - Greenwich PFI: W996Secondary Site ID: 0000Certification Type: PPMPDirector: Jared E Dropkin, D.O.Phone: (212) 298-2720Fax: (212) 298-2759Address: 255 Greenwich St - Suite 510, New York, NY 10007County: New YorkCountry: United StatesSingle or Primary Contact: Juliette StapleContact Phone: (347) 266-3394CLIA #: 33D2133659Tests: Bacterial Vaginosis, Rapid Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Hemoglobin Helicobacter Pylori Influenza Mononucleosis Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Trichomonas, Rapid HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 07/27/2027 Fulton Center for Rehabilitation and Healthcare PFI: W997Secondary Site ID: 0000Certification Type: WAIVERDirector: Joseph M DiMaria, M.D.Phone: (518) 773-3400Fax: (518) 725-8686Address: 847 County Rte 122, Gloversville, NY 12078County: FultonCountry: United StatesSingle or Primary Contact: Yosef YehudaContact Phone: (518) 773-3400CLIA #: 33D2129957Tests: 04/28/2027 Unique Eye Optique LLC PFI: W998Secondary Site ID: 0000Certification Type: WAIVERDirector: Jerome Kramer, O.D.Phone: (516) 333-0222Fax: (516) 333-0263Address: 175 I U Willets Rd, Albertson, NY 11507County: NassauCountry: United StatesSingle or Primary Contact: Ms. Karen NieblesContact Phone: (516) 333-0222CLIA #: 33D2129958Tests: 04/28/2027 Greenfield Court PFI: X004Secondary Site ID: 0000Certification Type: WAIVERDirector: Michael H Kueker, M.D.Phone: (716) 684-8400Fax: (716) 684-8480Address: 5951 Broadway, Lancaster, NY 14086County: ErieCountry: United StatesSingle or Primary Contact: Chantal WhiteContact Phone: (716) 684-8400CLIA #: 33D2130793Tests: COVID-19 ANTIGEN Glucose Protime 05/17/2027 Cadman Family Health Center PFI: X005Secondary Site ID: 0000Certification Type: PPMPDirector: Amy A Pandya, M.D.Phone: (718) 822-1818Fax: (347) 916-1906Address: 300 Cadman Plaza West, Brooklyn Heights, NY 11201County: KingsCountry: United StatesSingle or Primary Contact: Patricia EngelhardtContact Phone: (845) 546-8410CLIA #: 33D2130252Tests: Community Screening Drugs of Abuse Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pinworm Exams Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis Urine Sediment Exams 06/01/2027 Nottingham Retirement Community PFI: X006Secondary Site ID: 0000Certification Type: WAIVERDirector: David G Heisig, M.D.Phone: (315) 413-3140Fax: (315) 445-9551Address: 1303 Nottingham Road, Jamesville, NY 13078County: OnondagaCountry: United StatesSingle or Primary Contact: Sheila SquadritoContact Phone: (315) 413-3716CLIA #: 33D2130250Tests: 05/11/2027 Nottingham Memory Care Residence PFI: X006Secondary Site ID: 0001Certification Type: WAIVERDirector: David G Heisig, M.D.Phone: (315) 413-3017Fax: Address: 1307 Nottingham Rd, Jamesville, NY 13078County: OnondagaCountry: United StatesSingle or Primary Contact: Sheila SquadritoContact Phone: (315) 413-3746CLIA #: 33D2130250Tests: 05/11/2027 Town of Cohocton Ambulance District PFI: X007Secondary Site ID: 0000Certification Type: WAIVERDirector: Werner K Brammer, M.D.Phone: (585) 384-6043Fax: (585) 534-5100Address: 12 Wilcox St, Cohocton, NY 14826County: SteubenCountry: United StatesSingle or Primary Contact: Ashley SchwingelContact Phone: (585) 236-5093CLIA #: 33D2130251Tests: 05/11/2027 Mobile Health Medical Services PFI: X008Secondary Site ID: 0000Certification Type: WAIVERDirector: Jennifer A Frangos, D.O.Phone: (646) 625-3007Fax: (212) 695-2260Address: 1797 Coney Island Avenue, Brooklyn, NY 11230County: KingsCountry: United StatesSingle or Primary Contact: Tricia Chen-WeisContact Phone: (646) 625-3005CLIA #: 33D2130253Tests: COVID-19 ANTIGEN Breath Alcohol Cholesterol Community Screening Drugs of Abuse Glucose HDL Cholesterol LDL Cholesterol Pregnancy Test (Urine) COVID-19 MOLECULAR Triglycerides Urinalysis 06/01/2027