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OLV Human Services

PFI: M997
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Gail Goodman, M.D.
Phone: (716) 828-9500
Fax: (716) 828-9378
Address: 150 Martin Road, Lackawanna, NY 14218
County: Erie
Country: United States
Single or Primary Contact: Nicole Polanski
Contact Phone: (716) 828-9742
CLIA #: 33D0967503

Tests:

  • COVID-19 ANTIGEN
  • Drugs of Abuse
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • Strep A Test
Print

Baker Hall

PFI: M997
Secondary Site ID: 0007
Certification Type: WAIVER
Director: Gail Goodman, M.D.
Phone: (716) 828-9737
Fax: (716) 828-7730
Address: 777 Ridge Rd, Lackawanna, NY 14218
County: Erie
Country: United States
Single or Primary Contact: Nicole Polanski
Contact Phone: (716) 828-7834
CLIA #: 33D0967503

Tests:

  • COVID-19 ANTIGEN
  • Drugs of Abuse
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • Strep A Test
Print

ITP School at St Francis

PFI: M997
Secondary Site ID: 0003
Certification Type: WAIVER
Director: Gail Goodman, M.D.
Phone: (716) 828-7701
Fax: (716) 828-9767
Address: 125 Martin Rd, Lackawanna, NY 14218
County: Erie
Country: United States
Single or Primary Contact: Nicole Polanski
Contact Phone: (716) 828-7689
CLIA #: 33D0967503

Tests:

  • COVID-19 ANTIGEN
  • Drugs of Abuse
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • Strep A Test
Print

OLV Human Services - Admin

PFI: M997
Secondary Site ID: 0006
Certification Type: WAIVER
Director: Gail Goodman, M.D.
Phone: (716) 828-7573
Fax: (716) 828-9526
Address: 790 Ridge Rd, Lackawanna, NY 14218
County: Erie
Country: United States
Single or Primary Contact: Nicole Polanski
Contact Phone: (716) 828-7573
CLIA #: 33D0967503

Tests:

  • COVID-19 ANTIGEN
  • Drugs of Abuse
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • Strep A Test
Print

RTF School at NelsonITP School at St Francis

PFI: M997
Secondary Site ID: 0004
Certification Type: WAIVER
Director: Gail Goodman, M.D.
Phone: (716) 828-7689
Fax:
Address: 150 Martin Rd, Lackawanna, NY 14218
County: Erie
Country: United States
Single or Primary Contact: Nicole Polanski
Contact Phone: (716) 828-7689
CLIA #: 33D0967503

Tests:

  • COVID-19 ANTIGEN
  • Drugs of Abuse
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • Strep A Test
Print

St Johns Parkside

PFI: M997
Secondary Site ID: 0002
Certification Type: WAIVER
Director: Gail Goodman, M.D.
Phone: (716) 828-9560
Fax: (716) 828-7438
Address: 51 St Johns Parkside, Buffalo, NY 14210
County: Erie
Country: United States
Single or Primary Contact: Nicole Polanski
Contact Phone: (716) 828-7616
CLIA #: 33D0967503

Tests:

  • COVID-19 ANTIGEN
  • Drugs of Abuse
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • Strep A Test
Print

Monarch

PFI: M997
Secondary Site ID: 0001
Certification Type: WAIVER
Director: Gail Goodman, M.D.
Phone: (716) 828-9760
Fax: (716) 362-8989
Address: 1025 Ridge Rd, Lackawanna, NY 14218
County: Erie
Country: United States
Single or Primary Contact: Nicole Polanski
Contact Phone: (716) 828-7616
CLIA #: 33D0967503

Tests:

  • COVID-19 ANTIGEN
  • Drugs of Abuse
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • Strep A Test
Print

Baker Academy

PFI: M997
Secondary Site ID: 0005
Certification Type: WAIVER
Director: Gail Goodman, M.D.
Phone: (716) 828-7955
Fax: (716) 828-7775
Address: 650 Ridge Rd, Lackawanna, NY 14218
County: Erie
Country: United States
Single or Primary Contact: Nicole Polanski
Contact Phone: (716) 828-7956
CLIA #: 33D0967503

Tests:

  • COVID-19 ANTIGEN
  • Drugs of Abuse
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • Strep A Test
Print

Yonkers Community Health Center

PFI: M999
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Markos Asamenew, M.D.
Phone: (914) 699-7200
Fax: (914) 699-7226
Address: 30 S Broadway, Yonkers, NY 10701
County: Westchester
Country: United States
Single or Primary Contact: Dr. Markos Asamenew
Contact Phone: (914) 699-7200
CLIA #: 33D0967504

Tests:

  • Community Screening
  • Glucose
  • Influenza
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Strep A Test
  • Urinalysis
Print

Crouse Community Center

PFI: N002
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Todd M. Podkowka, M.D.
Phone: (315) 684-9595
Fax: (315) 684-9275
Address: 101 South St, Morrisville, NY 13408
County: Madison
Country: United States
Single or Primary Contact: Donald J Raux II
Contact Phone: (315) 684-9595
CLIA #: 33D0874669

Tests:

  • COVID-19 ANTIGEN
  • Glucose
  • Occult Blood
  • Urinalysis
Print

St Cabrini Nursing Home Inc

PFI: N003
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Elaine Healy, M.D.
Phone: (914) 693-6800
Fax: (914) 693-1731
Address: 115 Broadway, Dobbs Ferry, NY 10522
County: Westchester
Country: United States
Single or Primary Contact: Mark Pohar
Contact Phone: 9146936800520
CLIA #: 33D0653605

Tests:

  • COVID-19 ANTIGEN
  • Glucose
Print

Visiting Nurse Service and Hospice of Suffolk Inc

PFI: N005
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Birjis Akhund, M.D.
Phone: (631) 930-9335
Fax: (631) 261-5423
Address: 505 Main St, Northport, NY 11768
County: Suffolk
Country: United States
Single or Primary Contact: Connie Alexander
Contact Phone: (631) 930-9335
CLIA #: 33D0157821

Tests:

  • Glucose
Print

Tupper Lake Center for Nursing and Rehabilitation

PFI: N007
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Neil J Cichetti, M.D.
Phone: (518) 359-3355
Fax: (518) 359-3355
Address: 114 Wawbeek Ave, Tupper Lake, NY 12986
County: Franklin
Country: United States
Single or Primary Contact: Robert Baranello
Contact Phone: (518) 359-3355
CLIA #: 33D0882589

Tests:

  • Glucose
  • Occult Blood
Print

Highland Nursing Home Inc. dba North Country Nursing and Rehab Center

PFI: N009
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Neil J Cichetti, M.D.
Phone: (315) 769-9956
Fax: (315) 769-9955
Address: 182 Highland Rd, Massena, NY 13662
County: St. Lawrence
Country: United States
Single or Primary Contact: Daniel Brencher
Contact Phone: (315) 769-9956
CLIA #: 33D0717544

Tests:

  • COVID-19 ANTIGEN
  • Glucose
  • Occult Blood
Print

Northwoods Rehabilitation and Nursing Center

PFI: N014
Secondary Site ID: 0000
Certification Type: WAIVER
Director: David S. Dinello, M.D.
Phone: (315) 497-0440
Fax: (315) 497-0494
Address: 7 Keeler Avenue, Moravia, NY 13118
County: Cayuga
Country: United States
Single or Primary Contact: Boruch Sheps
Contact Phone: (845) 414-3300
CLIA #: 33D0672582

Tests:

  • COVID-19 ANTIGEN
  • Glucose
  • COVID-19 MOLECULAR
Print

The Hamlet Rehabilitation and Healthcare Center at Nesconset

PFI: N015
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Nathanael Desire, D.O.
Phone: (631) 361-8800
Fax: (631) 361-9528
Address: 100 Southern Blvd, Nesconset, NY 11767
County: Suffolk
Country: United States
Single or Primary Contact: Stephanie Malone
Contact Phone: (631) 361-8800
CLIA #: 33D0158360

Tests:

  • COVID-19 ANTIGEN
  • Glucose
  • Influenza
Print

Middle Island Adult Day Health Services

PFI: N016
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mohammud M Alam, M.D.
Phone: (631) 924-0700
Fax: (631) 924-0894
Address: 45 Rocky Point Road, Middle Island, NY 11953
County: Suffolk
Country: United States
Single or Primary Contact: Kathleen DiPietro
Contact Phone: (631) 924-0770
CLIA #: 33D0968033

Tests:

  • Glucose
Print

Charles T Sitrin Health Care Center

PFI: N018
Secondary Site ID: 0000
Certification Type: WAIVER
Director: John A Pylman, M.D.
Phone: (315) 797-3114
Fax: (315) 797-6955
Address: 2050 Tilden Ave, New Hartford, NY 13413
County: Oneida
Country: United States
Single or Primary Contact: AnneMarie Miller
Contact Phone: (315) 737-2234
CLIA #: 33D0166944

Tests:

  • COVID-19 ANTIGEN
  • Glucose
Print

Chase Memorial Nursing Home Co Inc

PFI: N019
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Jerome J Mikloucich, M.D.
Phone: (607) 847-7000
Fax: (607) 847-6132
Address: One Terrace Heights, New Berlin, NY 13411
County: Chenango
Country: United States
Single or Primary Contact: Susan Holbert
Contact Phone: (607) 847-7009
CLIA #: 33D0717043

Tests:

  • COVID-19 ANTIGEN
  • Community Screening
  • Glucose
  • Occult Blood
Print

Middletown Park Rehabilitation and Health Care Center

PFI: N020
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Soodabeh Zolfaghari, M.D.
Phone: (845) 343-0801
Fax: (845) 343-1838
Address: 121 Dunning Road, Middletown, NY 10940
County: Orange
Country: United States
Single or Primary Contact: Diane A Ianazzi
Contact Phone: (845) 343-0801
CLIA #: 33D0668986

Tests:

  • COVID-19 ANTIGEN
  • Glucose
  • Influenza
  • COVID-19 MOLECULAR
  • RSV (Respiratory Syncytial Virus)
Print

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