Freedom Ctr of Rockland County LLC - Fresenius Kidney Care Montebello PFI: T500Secondary Site ID: 0000Certification Type: WAIVERDirector: Sri Ranga Lakshmi Bonam, M.D.Phone: (845) 357-0452Fax: (845) 357-3860Address: 30 Rte 59, Montebello, NY 10901County: RocklandCountry: United StatesSingle or Primary Contact: Tomasilio CualingContact Phone: (845) 357-0452CLIA #: 33D2037643Tests: 03/05/2028 Garrattsville Emergency Squad PFI: T501Secondary Site ID: 0000Certification Type: WAIVERDirector: Michael J Hodgman, M.D.Phone: (607) 965-8536Fax: (607) 965-8319Address: 4413 State Hwy 51, Garrattsville, NY 13342County: OtsegoCountry: United StatesSingle or Primary Contact: Laurie MelilloContact Phone: (607) 435-9907CLIA #: 33D2037642Tests: 03/05/2028 East Glenville Fire District No 3 PFI: T502Secondary Site ID: 0000Certification Type: WAIVERDirector: Aaron D Willen, D.O.Phone: (518) 399-1641Fax: (518) 399-2123Address: 433 Saratoga Road, Glenville, NY 12302County: SchenectadyCountry: United StatesSingle or Primary Contact: Michael MeierContact Phone: (518) 369-7868CLIA #: 33D2038199Tests: 03/16/2028 Catholic Charities Care Coordination PFI: T503Secondary Site ID: 0000Certification Type: WAIVERDirector: Christina Conigliaro, N.P.Phone: (518) 449-3591Fax: (518) 426-3662Address: 100 Slingerland Street, Albany, NY 12202County: AlbanyCountry: United StatesSingle or Primary Contact: Ed FoxContact Phone: (838) 900-5520CLIA #: 33D2038231Tests: Community Screening Drugs of Abuse Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Syphilis Antibodies 04/01/2028 Catholic Charities AIDS Services PFI: T503Secondary Site ID: 0003Certification Type: WAIVERDirector: Christina Conigliaro, N.P.Phone: (518) 449-3581Fax: (518) 426-3662Address: 120 Broad St, Schuylerville, NY 12871County: SaratogaCountry: United StatesSingle or Primary Contact: Ed FoxContact Phone: 5184493581130CLIA #: 33D2038231Tests: Community Screening Drugs of Abuse Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Syphilis Antibodies 04/01/2028 Catholic Charities AIDS Services PFI: T503Secondary Site ID: 0005Certification Type: WAIVERDirector: Christina Conigliaro, N.P.Phone: (518) 449-3581Fax: (518) 426-3662Address: 218 Nott Terrace, Schenectady, NY 12305County: SchenectadyCountry: United StatesSingle or Primary Contact: Ed FoxContact Phone: 5184493581130CLIA #: 33D2038231Tests: Community Screening Drugs of Abuse Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Syphilis Antibodies 04/01/2028 Northtowns Dialysis Center PFI: T507Secondary Site ID: 0000Certification Type: WAIVERDirector: Dr. Cindy S YipPhone: (716) 871-8103Fax: (716) 871-8107Address: 4041 Delaware Ave - Suite 150, Tonawanda, NY 14150County: ErieCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2037697Tests: 03/25/2028 Community Health Center Buffalo Inc PFI: T508Secondary Site ID: 0000Certification Type: PPMPDirector: Rachna Bharti, M.D.Phone: (716) 986-9199Fax: (716) 835-9353Address: 34 Benwood Ave, Buffalo, NY 14214County: ErieCountry: United StatesSingle or Primary Contact: Lance McKenzieContact Phone: (716) 986-9199CLIA #: 33D2038195Tests: COVID-19 ANTIGEN Blood Lead Chlamydia trachomatis Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Neisseria gonorrhoeae Pregnancy Test (Urine) HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/21/2028 Community Health Center of Lockport PFI: T508Secondary Site ID: 0002Certification Type: PPMPDirector: Rachna Bharti, M.D.Phone: (716) 986-9199Fax: (716) 304-1044Address: 100 Main St., Lockport, NY 14094County: NiagaraCountry: United StatesSingle or Primary Contact: Lance McKenzieContact Phone: (716) 986-9199CLIA #: 33D2038195Tests: COVID-19 ANTIGEN Blood Lead Chlamydia trachomatis Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Neisseria gonorrhoeae Pregnancy Test (Urine) HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/21/2028 Community Health Center of Buffalo Inc - BFNC PFI: T508Secondary Site ID: 0006Certification Type: PPMPDirector: Rachna Bharti, M.D.Phone: (716) 986-9199Fax: (716) 835-9353Address: 421 Monroe St, Buffalo, NY 14212County: ErieCountry: United StatesSingle or Primary Contact: Lance McKenzieContact Phone: 71698691991003CLIA #: 33D2038195Tests: COVID-19 ANTIGEN Blood Lead Chlamydia trachomatis Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Neisseria gonorrhoeae Pregnancy Test (Urine) HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/21/2028 Community Health Center of Buffalo Inc Mobile Van PFI: T508Secondary Site ID: 0005Certification Type: PPMPDirector: Rachna Bharti, M.D.Phone: (716) 986-9199Fax: (718) 835-9353Address: 3913 Cambria Wilson Road, Lockport, NY 14094County: ErieCountry: United StatesSingle or Primary Contact: Lance McKenzieContact Phone: (716) 986-9199CLIA #: 33D2038195Tests: COVID-19 ANTIGEN Blood Lead Chlamydia trachomatis Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Neisseria gonorrhoeae Pregnancy Test (Urine) HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/21/2028 Community Health Center of Cheektowaga PFI: T508Secondary Site ID: 0004Certification Type: PPMPDirector: Rachna Bharti, M.D.Phone: (716) 986-9199Fax: (716) 304-1057Address: 934 Cleveland Drive, Cheektowaga, NY 14225County: ErieCountry: United StatesSingle or Primary Contact: Lance McKenzieContact Phone: (716) 986-9199CLIA #: 33D2038195Tests: COVID-19 ANTIGEN Blood Lead Chlamydia trachomatis Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Neisseria gonorrhoeae Pregnancy Test (Urine) HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/21/2028 Community Health Center Niagara PFI: T508Secondary Site ID: 0001Certification Type: PPMPDirector: Rachna Bharti, M.D.Phone: (716) 986-9199Fax: (716) 285-8052Address: 2715 Highland Ave, Niagara Falls, NY 14305County: NiagaraCountry: United StatesSingle or Primary Contact: Lance McKenzieContact Phone: (716) 986-9199CLIA #: 33D2038195Tests: COVID-19 ANTIGEN Blood Lead Chlamydia trachomatis Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Neisseria gonorrhoeae Pregnancy Test (Urine) HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/21/2028 Quilez and Associates Inc/A Su Salud LLC PFI: T509Secondary Site ID: 0000Certification Type: WAIVERDirector: Evelio Echenique, M.D.Phone: (646) 209-3950Fax: (800) 785-4217Address: 51 E 125th St, New York, NY 10035County: New YorkCountry: United StatesSingle or Primary Contact: Claudia QuilezContact Phone: (818) 288-0357CLIA #: 33D2038254Tests: Cholesterol Community Screening Glucose 04/01/2028 NYU Langone Arena Oncology PFI: T510Secondary Site ID: 0000Certification Type: WAIVERDirector: Francis P Arena, M.D.Phone: (516) 466-6611Fax: (516) 466-6080Address: 1999 Marcus Ave, Lake Success, NY 11042County: NassauCountry: United StatesSingle or Primary Contact: Uliana SaitesContact Phone: (516) 403-1558CLIA #: 33D2038202Tests: COVID-19 ANTIGEN Glucose Influenza Occult Blood Protime COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 04/01/2028 FMS Southern Westchester Dialysis PFI: T516Secondary Site ID: 0000Certification Type: WAIVERDirector: Dominick F Reda, M.D.Phone: (914) 965-0200Fax: (914) 965-2247Address: 44 Vark Street, Yonkers, NY 10701County: WestchesterCountry: United StatesSingle or Primary Contact: Andrea PossoContact Phone: (914) 965-0200CLIA #: 33D2040156Tests: 04/25/2028 Silver Waters Community Ambulance Service Village of Sodus Point PFI: T519Secondary Site ID: 0000Certification Type: WAIVERDirector: Cynthia C Martinez-Capolino, M.D.Phone: (315) 483-9881Fax: (315) 483-0913Address: 8364 Bay Street, Sodus Point, NY 14555County: WayneCountry: United StatesSingle or Primary Contact: William KalluschContact Phone: (315) 879-0760CLIA #: 33D2038488Tests: Community Screening Glucose 03/26/2028 St Ann's Corner of Harm Reduction PFI: T523Secondary Site ID: 0000Certification Type: WAIVERDirector: David J Ores, M.D.Phone: (718) 585-5544Fax: (718) 585-8314Address: 886 Westchester Ave - Ground Fl Ste, Bronx, NY 10459County: BronxCountry: United StatesSingle or Primary Contact: Krystal B MontalvoContact Phone: (718) 585-5544CLIA #: 33D2038970Tests: Community Screening Drugs of Abuse Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Syphilis Antibodies 04/01/2028 HCR Home Care PFI: T524Secondary Site ID: 0000Certification Type: WAIVERDirector: John McIntyre, M.D.Phone: (315) 280-0681Fax: (315) 280-0706Address: 4 Alder Dr - Ste 2, East Syracuse, NY 13057County: OnondagaCountry: United StatesSingle or Primary Contact: Nancy McCulloughContact Phone: (585) 295-6464CLIA #: 33D2038934Tests: Community Screening Glucose Protime 03/28/2028 OnPoint NYC PFI: T526Secondary Site ID: 0000Certification Type: WAIVERDirector: Benjamin T Hayes, M.D.Phone: (718) 842-6050Fax: (646) 649-4619Address: 500 W 180th St, New York, NY 10033County: New YorkCountry: United StatesSingle or Primary Contact: Susan SprattContact Phone: (917) 202-2171CLIA #: 33D2040158Tests: Bacterial Vaginosis, Rapid Chlamydia trachomatis Community Screening Glucose Influenza Ketones Neisseria gonorrhoeae Occult Blood pH Pregnancy Test (Urine) Trichomonas, Rapid HCV, Rapid HIV, Rapid Syphilis Antibodies Urinalysis 04/25/2028