Port Jefferson Volunteer Ambulance Inc PFI: T754Secondary Site ID: 0000Certification Type: WAIVERDirector: Carl S Goodman, D.O.Phone: (631) 473-2519Fax: (631) 476-6716Address: 25 Crystal Brook Hollow Road, Mount Sinai, NY 11766County: SuffolkCountry: United StatesSingle or Primary Contact: Michael PrestaContact Phone: (631) 473-2519CLIA #: 33D2051318Tests: COVID-19 ANTIGEN Adenovirus Blood Urea Nitrogen (BUN) Bordetella parapertussis Bordetella pertussis Carbon Dioxide Chloride Chlamydophila pneumoniae Community Screening Coronavirus Creatinine Creatine Kinase (CK) Drugs of Abuse Glucose Hemoglobin Hematocrit Human Metapneumovirus Human Rhinovirus/Enterovirus Influenza Lactic Acid (Lactate) Mycoplasma pneumoniae Parainfluenza Virus Potassium COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Saliva Alcohol COVID-19 ANTIBODY Sodium 12/18/2025 Saratoga Hospital Medical Group - Occupational Medicine PFI: T756Secondary Site ID: 0000Certification Type: WAIVERDirector: Michael G Holland, M.D.Phone: (518) 886-5412Fax: (518) 899-8069Address: 2388 Rte 9, Mechanicville, NY 12118County: SaratogaCountry: United StatesSingle or Primary Contact: Shayna BlanchetteContact Phone: (518) 583-8743CLIA #: 33D2051372Tests: Drugs of Abuse Glucose Pregnancy Test (Urine) Urinalysis 12/18/2026 Forestdale Inc PFI: T757Secondary Site ID: 0000Certification Type: WAIVERDirector: Allison R Bloom, M.D.Phone: (718) 263-0740Fax: (718) 263-9894Address: 67-35 112th St - Bldg 3, Forest Hills, NY 11375County: QueensCountry: United StatesSingle or Primary Contact: Suchi KapoorContact Phone: (718) 263-0740CLIA #: 33D2051320Tests: COVID-19 ANTIGEN Glucose Hemoglobin Influenza Ketones Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 12/18/2026 Fox Run Residential Treatment Program PFI: T758Secondary Site ID: 0025Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (845) 516-1000Fax: Address: 190 Fox Hollow Rd, Rhinebeck, NY 12572County: DutchessCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (845) 516-1000CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Jamaica IOP ISSWR Program Lab PFI: T758Secondary Site ID: 0000Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 206-1990Fax: (718) 206-0051Address: 144-10 Jamaica Avenue, Jamaica, NY 11435County: QueensCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (718) 206-2000CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Meadow Run Residential Treatment Program PFI: T758Secondary Site ID: 0026Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (845) 876-3789Fax: Address: 88 Fox Hollow Rd, Rhinebeck, NY 12572County: DutchessCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (845) 876-3789CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Cape Road Residential Treatment Program PFI: T758Secondary Site ID: 0024Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (845) 647-6575Fax: Address: 767 Cape Rd, Ellenville, NY 12428County: UlsterCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (845) 647-4592CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 ACT PFI: T758Secondary Site ID: 0023Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 443-0923Fax: Address: 988 Myrtle Ave, Brooklyn, NY 11206County: KingsCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (718) 443-0923CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Suffolk Outpatient Treatment Program PFI: T758Secondary Site ID: 0019Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (631) 351-7113Fax: (631) 351-0862Address: 2075 New York Ave, Huntington, NY 11746County: SuffolkCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (631) 589-9500CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Staten Island Outpatient Treatment Center PFI: T758Secondary Site ID: 0018Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 981-3136Fax: (718) 981-6849Address: 1915 Forest Ave, Staten Island, NY 10303County: RichmondCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (929) 678-4894CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Rockland Outpatient Treatment Program PFI: T758Secondary Site ID: 0017Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (845) 353-2730Fax: (845) 353-2538Address: 602 Rte 303, Blauvelt, NY 10913County: RocklandCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (845) 353-2538CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Forbell Satellite PFI: T758Secondary Site ID: 0015Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (929) 244-1456Fax: (718) 636-1613Address: 338 Forbell Avenue, Brooklyn, NY 11208County: KingsCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (917) 773-7317CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 New Beginnings Community Counseling Center PFI: T758Secondary Site ID: 0014Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 665-7112Fax: (718) 665-1174Address: 510 Courtlandt Avenue 4th Floor, Bronx, NY 10451County: BronxCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (718) 665-2456CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Independence Outpatient Treatment Program PFI: T758Secondary Site ID: 0013Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 402-9000Fax: (718) 665-0803Address: 510 Courtlandt Avenue 5th Floor, Bronx, NY 10451County: BronxCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (917) 773-7317CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Bronx Outpatient Treatment Program PFI: T758Secondary Site ID: 0012Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 518-9007Fax: (718) 518-8281Address: 900 Arnow Avenue, Bronx, NY 10469County: BronxCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (929) 218-0878CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Grand Concourse Outpatient Treatment Program PFI: T758Secondary Site ID: 0010Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 292-4455Fax: (718) 292-9228Address: 250 Grand Concourse, Bronx, NY 10451County: BronxCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (718) 292-4455CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Richmond Hill - Residential PFI: T758Secondary Site ID: 0001Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 441-8913Fax: (718) 805-6041Address: 130-20 89th Road, Richmond Hill, NY 11418County: QueensCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (718) 441-8913CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Young Mothers PFI: T758Secondary Site ID: 0002Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (212) 222-5285Fax: (212) 222-7015Address: 119 W 106th Street, New York, NY 10025County: New YorkCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (212) 222-5285CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Mott Haven - OTP PFI: T758Secondary Site ID: 0011Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 292-4640Fax: (718) 402-5006Address: 362 East 148th Street, Bronx, NY 10455County: BronxCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (718) 292-4640CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027 Jarrett Place PFI: T758Secondary Site ID: 0003Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 681-9300Fax: (718) 681-8913Address: 1521 Jarrett Place, Bronx, NY 10461County: BronxCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (917) 387-6957CLIA #: 33D2054034Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Occult Blood pH Pregnancy Test (Urine) HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 02/13/2027