CHS Mobile Integrated Health Care Inc PFI: R850Secondary Site ID: 0000Certification Type: WAIVERDirector: Jeremy T Cushman, M.D.Phone: (585) 334-4190Fax: (585) 334-8172Address: 280 Calkins Road, Rochester, NY 14623County: MonroeCountry: United StatesSingle or Primary Contact: Frank ManzoContact Phone: (585) 334-4190CLIA #: 33D1070715Tests: 08/03/2027 Soundview Dialysis Center PFI: R853Secondary Site ID: 0000Certification Type: WAIVERDirector: Bernard M Weiner, M.D.Phone: (347) 769-7294Fax: (347) 812-0696Address: 1109 Rosedale Ave, Bronx, NY 10472County: BronxCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D0967746Tests: 06/13/2027 River Ridge Operating LLC PFI: R855Secondary Site ID: 0000Certification Type: WAIVERDirector: Jonathan S Waldman, M.D.Phone: (518) 843-3503Fax: (518) 843-3537Address: 100 Sandy Dr, Amsterdam, NY 12010County: MontgomeryCountry: United StatesSingle or Primary Contact: Tracey NilsenContact Phone: (518) 843-3503CLIA #: 33D1069003Tests: 05/25/2027 Mount Sinai South Nassau PFI: R856Secondary Site ID: 0000Certification Type: WAIVERDirector: Charles Sticco, D.O.Phone: (516) 764-4325Fax: (516) 764-9422Address: 440 Merrick Road, Oceanside, NY 11572County: NassauCountry: United StatesSingle or Primary Contact: Laura J RighterContact Phone: (516) 764-4325CLIA #: 33D1076231Tests: 11/10/2027 South Nassau Center for Cardiac Rehabilitation PFI: R857Secondary Site ID: 0000Certification Type: WAIVERDirector: Saeed A Siddiqui, M.D.Phone: (516) 255-8280Fax: (516) 678-4335Address: 440 Merrick Road, Oceanside, NY 11572County: NassauCountry: United StatesSingle or Primary Contact: Laura J RighterContact Phone: (516) 255-8504CLIA #: 33D1105833Tests: 10/15/2027 Project STAY PFI: R859Secondary Site ID: 0000Certification Type: WAIVERDirector: Natalie M. Neu, M.D.Phone: (212) 305-0635Fax: (212) 342-1578Address: 650 W 168th St - Rm BB4-427, New York, NY 10032County: New YorkCountry: United StatesSingle or Primary Contact: Dr. Natalie NeuContact Phone: (212) 305-9683CLIA #: 33D1069919Tests: Community Screening HCV, Rapid HIV, Rapid Syphilis Antibodies 06/18/2027 West Exeter First Responders Agency PFI: R864Secondary Site ID: 0000Certification Type: WAIVERDirector: John Rubin, D.O.Phone: (315) 822-6388Fax: Address: 6960 State Highway 51, West Exeter, NY 13491County: OtsegoCountry: United StatesSingle or Primary Contact: Ethel MillsContact Phone: (315) 822-6480CLIA #: 33D1069514Tests: 10/08/2025 South Nassau Outpatient Dialysis Center PFI: R866Secondary Site ID: 0000Certification Type: WAIVERDirector: Louis Swartz, M.D.Phone: (516) 255-8000Fax: (516) 255-8011Address: 3618 Oceanside Road, Oceanside, NY 11572County: NassauCountry: United StatesSingle or Primary Contact: Zapora BurilloContact Phone: (516) 255-8064CLIA #: 33D1071400Tests: 08/03/2027 Queens Dialysis Center PFI: R870Secondary Site ID: 0000Certification Type: WAIVERDirector: Nirav R Mehta, D.O.Phone: (718) 341-6711Fax: (718) 525-8611Address: 118-01 Guy Brewer Blvd, Jamacia, NY 11434-2101County: QueensCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D0969991Tests: 06/14/2027 Nyack Community Ambulance Corps Inc PFI: R885Secondary Site ID: 0000Certification Type: WAIVERDirector: William Greenhut, D.O.Phone: (845) 358-4824Fax: (845) 358-1628Address: 251 N Midland Avenue, Nyack, NY 10960County: RocklandCountry: United StatesSingle or Primary Contact: Ivan GuerraContact Phone: (845) 304-0246CLIA #: 33D1070698Tests: 08/02/2027 Oceanside Fire District PFI: R888Secondary Site ID: 0000Certification Type: WAIVERDirector: Joshua N. Kugler, M.D.Phone: (516) 766-3010Fax: (516) 766-2925Address: 65 Foxhurst Road, Oceanside, NY 11572County: NassauCountry: United StatesSingle or Primary Contact: Jose C PinieroContact Phone: (516) 766-2717CLIA #: 33D1076828Tests: 12/06/2027 BAYADA Home Health Care Inc PFI: R892Secondary Site ID: 0000Certification Type: WAIVERDirector: Anthony J Battista, M.D.Phone: (516) 222-0092Fax: (516) 222-0266Address: 825 E Gate Blvd - Ste 201, Garden City, NY 11530County: NassauCountry: United StatesSingle or Primary Contact: Justin BookerContact Phone: (516) 222-0092CLIA #: 33D1071490Tests: 08/02/2027 Stewart Manor Fire Department PFI: R895Secondary Site ID: 0000Certification Type: WAIVERDirector: Fredric C Cogan, M.D.Phone: (516) 354-0880Fax: (516) 354-7822Address: 120 Covert Ave, Stewart Manor, NY 11530County: NassauCountry: United StatesSingle or Primary Contact: Fredrick PowellContact Phone: (516) 354-0880CLIA #: 33D1074335Tests: 12/08/2027 Queens Dialysis at the Pavilion PFI: R899Secondary Site ID: 0000Certification Type: WAIVERDirector: Ritesh Raichoudhury, M.D.Phone: (718) 888-5228Fax: (718) 762-8698Address: 36-17 Parsons Blvd, Flushing, NY 11354County: QueensCountry: United StatesSingle or Primary Contact: Emily VarasContact Phone: (718) 888-5203CLIA #: 33D1074642Tests: 10/03/2027 Woodhull Ambulance Corp Inc PFI: R903Secondary Site ID: 0000Certification Type: WAIVERDirector: Tyler J Lemay, M.D.Phone: (607) 458-5380Fax: (607) 458-5624Address: 5193 W Main St, Woodhull, NY 14898County: SteubenCountry: United StatesSingle or Primary Contact: Teri SymondsContact Phone: (607) 368-1484CLIA #: 33D1084923Tests: 06/06/2026 Corning Ambulance Service dba AMR PFI: R907Secondary Site ID: 0000Certification Type: WAIVERDirector: Aaron N Farney, M.D.Phone: (607) 936-4177Fax: (607) 936-0359Address: 3344 Baker Street Ext, Corning, NY 14830County: SteubenCountry: United StatesSingle or Primary Contact: James NearyContact Phone: (607) 936-4177CLIA #: 33D1084341Tests: COVID-19 ANTIGEN Glucose Influenza 09/28/2027 East Rockaway Fire Dept PFI: R910Secondary Site ID: 0000Certification Type: WAIVERDirector: Jorge L. Gardyn, M.D.Phone: (516) 887-6340Fax: (516) 887-6348Address: 473 Atlantic Ave, East Rockaway, NY 11518County: NassauCountry: United StatesSingle or Primary Contact: Robert BristolContact Phone: (516) 887-6340CLIA #: 33D1076782Tests: 12/06/2027 Good Samaritan Hospital Medical Ctr - Ctr For Pediatric Specialty Care PFI: R913Secondary Site ID: 0001Certification Type: PPMPDirector: Pratima R. Savargaonkar, M.D.Phone: (631) 321-2100Fax: (631) 957-6070Address: 655 Deer Park Ave, Babylon, NY 11702County: SuffolkCountry: United StatesSingle or Primary Contact: Stephen PepeContact Phone: (631) 376-3028CLIA #: 33D1072368Tests: Glucose Glycosylated Hemoglobin Occult Blood Urinalysis Urine Sediment Exams 08/15/2027 Good Samaritan PET/CT and Imaging Services PFI: R913Secondary Site ID: 0000Certification Type: PPMPDirector: Pratima R. Savargaonkar, M.D.Phone: (631) 376-3058Fax: (631) 376-3136Address: 1245 Montauk Highway, West Islip, NY 11795County: SuffolkCountry: United StatesSingle or Primary Contact: Stephen PepeContact Phone: (631) 376-3028CLIA #: 33D1072368Tests: Glucose Glycosylated Hemoglobin Occult Blood Urinalysis Urine Sediment Exams 08/15/2027 Middletown Dialysis Center PFI: R918Secondary Site ID: 0000Certification Type: WAIVERDirector: Isha Gupta, M.D.Phone: (845) 695-1200Fax: (845) 692-1380Address: 220 Crystal Run Road, Middletown, NY 10941County: OrangeCountry: United StatesSingle or Primary Contact: Christopher WrisleyContact Phone: (845) 695-1200CLIA #: 33D1107581Tests: 11/20/2027