Hampton Gynecology and Obstetrics, a location of Univ. Assoc in OBGYN PFI: Z202Secondary Site ID: 0000Certification Type: PPMPDirector: Florence R Rolston, M.D.Phone: (631) 638-7820Fax: (631) 638-7833Address: 600 Montauk Hwy - Suite C, Center Moriches, NY 11934County: SuffolkCountry: United StatesSingle or Primary Contact: Isabella ScarpaContact Phone: (631) 297-8889CLIA #: 33D2194828Tests: Direct Wet Mount Preps Fern Tests Hemoglobin Hematocrit Ketones Occult Blood pH Post-coital Direct Pregnancy Test (Urine) Qualitative Semen Analysis (microscopy) Urinalysis 10/05/2026 Walgreens No. 09971 PFI: Z203Secondary Site ID: 0000Certification Type: WAIVERDirector: Zeiad A Fakhouri, M.D.Phone: (518) 426-2976Fax: Address: 41 Holland Ave, Albany, NY 12208County: AlbanyCountry: United StatesSingle or Primary Contact: Daniel RodriguezContact Phone: (847) 282-2589CLIA #: 33D2191595Tests: COVID-19 ANTIGEN Influenza COVID-19 MOLECULAR 08/29/2028 Walgreens No. 03470 PFI: Z204Secondary Site ID: 0000Certification Type: WAIVERDirector: Zeiad A Fakhouri, M.D.Phone: (631) 271-2965Fax: Address: 984 New York Ave, Huntington Station, NY 11746County: SuffolkCountry: United StatesSingle or Primary Contact: Daniel RodriguezContact Phone: (847) 282-2589CLIA #: 33D2191597Tests: COVID-19 ANTIGEN Influenza COVID-19 MOLECULAR 08/29/2028 Walgreens No. 19049 PFI: Z206Secondary Site ID: 0000Certification Type: WAIVERDirector: Zeiad A Fakhouri, M.D.Phone: (315) 455-5641Fax: Address: 2616 Brewerton Rd, Mattydale, NY 13211County: OnondagaCountry: United StatesSingle or Primary Contact: Joan E PetrowskiContact Phone: (847) 527-4274CLIA #: 33D2191856Tests: 09/02/2024 Town of Cuba Ambulance Service PFI: Z209Secondary Site ID: 0000Certification Type: WAIVERDirector: Aaron N Farney, M.D.Phone: (585) 968-1666Fax: (585) 968-1294Address: 7 Bull St, Cuba, NY 14727County: AlleganyCountry: United StatesSingle or Primary Contact: Aaron ApplebyContact Phone: (716) 244-2560CLIA #: 33D2192888Tests: 09/15/2028 Bethany Gardens Skilled Living Center PFI: Z210Secondary Site ID: 0000Certification Type: WAIVERDirector: Hamerton D Jeanty, M.D.Phone: (315) 339-3210Fax: (315) 339-6927Address: 800 W Chestnut St, Rome, NY 13440County: OneidaCountry: United StatesSingle or Primary Contact: Tyler BeattieContact Phone: (315) 339-3210CLIA #: 33D2191603Tests: 09/02/2028 Excel at Woodbury PFI: Z212Secondary Site ID: 0000Certification Type: WAIVERDirector: Brenainn M Flanagan, M.D.Phone: (516) 692-4100Fax: (516) 692-8794Address: 8533 Jericho Tpke, Woodbury, NY 11797County: NassauCountry: United StatesSingle or Primary Contact: Kelly ChoiContact Phone: (516) 692-4100CLIA #: 33D2191600Tests: COVID-19 ANTIGEN Glucose Influenza 08/31/2028 Glen Cove Center for Nursing and Rehabilitation PFI: Z213Secondary Site ID: 0000Certification Type: WAIVERDirector: John A Reyes, M.D.Phone: (516) 656-8000Fax: Address: 6 Medical Plaza, Glen Cove, NY 11542County: NassauCountry: United StatesSingle or Primary Contact: Andrea SerieContact Phone: (516) 656-8000CLIA #: 33D2191602Tests: 08/31/2028 Grand Care Pharmacy Inc PFI: Z214Secondary Site ID: 0000Certification Type: WAIVERDirector: Chester H Fox, M.D.Phone: (718) 446-6656Fax: (718) 458-6656Address: 66-56 Grand Ave, Maspeth, NY 11378County: QueensCountry: United StatesSingle or Primary Contact: Trevor LatchminarainContact Phone: CLIA #: 33D2191601Tests: COVID-19 ANTIGEN Community Screening Glycosylated Hemoglobin Influenza COVID-19 MOLECULAR COVID-19 ANTIBODY 08/31/2026 Shore View Nursing and Rehabilitation Center PFI: Z216Secondary Site ID: 0000Certification Type: WAIVERDirector: Samar Raza, M.D.Phone: (718) 891-4400Fax: (718) 484-1235Address: 2865 Brighton 3rd St, Brooklyn, NY 11235County: KingsCountry: United StatesSingle or Primary Contact: Alex PushkanzerContact Phone: (917) 836-6352CLIA #: 33D2191599Tests: COVID-19 ANTIGEN Glucose Influenza Urinalysis 08/31/2028 Sprain Brook Manor Rehab LLC PFI: Z218Secondary Site ID: 0000Certification Type: WAIVERDirector: Ashok Chopra, M.D.Phone: (914) 472-3200Fax: (914) 358-2002Address: 77 Jackson Ave, Scarsdale, NY 10583County: WestchesterCountry: United StatesSingle or Primary Contact: Ben KahanContact Phone: (914) 472-3200CLIA #: 33D2192038Tests: COVID-19 ANTIGEN Glucose COVID-19 MOLECULAR 09/04/2028 Quail Summit Inc PFI: Z219Secondary Site ID: 0000Certification Type: WAIVERDirector: Sarah M Howd, M.D.Phone: (585) 396-1010Fax: (585) 396-1741Address: 5102 Parrish St Ext, Canandaigua, NY 14424County: OntarioCountry: United StatesSingle or Primary Contact: Vanessa BrookesContact Phone: (585) 396-7111CLIA #: 33D2192041Tests: COVID-19 ANTIGEN Community Screening Glucose Influenza 09/04/2026 Eastchester Rehabilitation and Health Care Center PFI: Z220Secondary Site ID: 0000Certification Type: WAIVERDirector: Abiola O Familusi, M.D.Phone: (718) 231-5550Fax: Address: 2700 Eastchester Rd, Bronx, NY 10469County: BronxCountry: United StatesSingle or Primary Contact: Nathaniel GordonContact Phone: (718) 231-5550CLIA #: 33D2192159Tests: COVID-19 ANTIGEN Glucose Protime Urinalysis 09/05/2028 Rebekah Rehab and Extended Care Center PFI: Z223Secondary Site ID: 0000Certification Type: WAIVERDirector: Jeffrey C. Gold, M.D.Phone: (718) 863-6200Fax: (914) 530-2161Address: 1070 Havemeyer Ave, Bronx, NY 10462County: BronxCountry: United StatesSingle or Primary Contact: Sommer L EspinoContact Phone: (718) 863-6200CLIA #: 33D2192140Tests: 09/04/2028 Delco Drugs and Specialty Pharmacy PFI: Z225Secondary Site ID: 0000Certification Type: WAIVERDirector: John Zafaranloo, M.D.Phone: (718) 984-6600Fax: (718) 984-6601Address: 3833 Richmond Ave, Staten Island, NY 10312County: RichmondCountry: United StatesSingle or Primary Contact: Robert AnnichoricoContact Phone: (718) 984-6600CLIA #: 33D2195760Tests: COVID-19 ANTIGEN Influenza COVID-19 MOLECULAR Strep A Test 10/13/2026 Jericho Road Community Health Center PFI: Z228Secondary Site ID: 0000Certification Type: PPMPDirector: Carla R Henke, M.D.Phone: (716) 529-3020Fax: (716) 529-3040Address: 1021 Broadway St, Buffalo, NY 14212County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2192904Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Glycosylated Hemoglobin Hemoglobin Helicobacter Pylori Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2028 Jericho Road Community Health Center PFI: Z229Secondary Site ID: 0000Certification Type: PPMPDirector: Caroline J Rath, P.A.Phone: (716) 919-6870Fax: (716) 919-6871Address: 100 E Tupper St, Buffalo, NY 14203County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2193162Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Glycosylated Hemoglobin Hemoglobin Helicobacter Pylori Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2028 Jericho Road Community Health Center PFI: Z231Secondary Site ID: 0000Certification Type: PPMPDirector: Takesha L Leonard, N.P.Phone: (716) 892-2775Fax: (716) 597-0554Address: 21 Doat St, Buffalo, NY 14211County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2193165Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Glycosylated Hemoglobin Hemoglobin Helicobacter Pylori Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2028 BronxCare - Mount Sinai Comprehensive Cancer Care PFI: Z232Secondary Site ID: 0000Certification Type: WAIVERDirector: AAM A. Baqui, M.D., Ph.D.Phone: (718) 239-8359Fax: (718) 579-3901Address: 1775 Grand Concource - 4th Floor, Bronx, NY 10457County: BronxCountry: United StatesSingle or Primary Contact: James DunneContact Phone: (718) 518-5197CLIA #: 33D2192885Tests: 09/15/2028 The Carlucci Home PFI: Z235Secondary Site ID: 0000Certification Type: WAIVERDirector: Edward J Bieniewicz, M.D.Phone: (845) 355-7700Fax: (845) 355-2082Address: 516 Mullock Rd, Port Jervis, NY 12771County: OrangeCountry: United StatesSingle or Primary Contact: Jennie CarlucciContact Phone: (914) 443-6835CLIA #: 33D2192285Tests: COVID-19 ANTIGEN Urinalysis 09/09/2028