Van Wyck Admissions and Residential PFI: T758Secondary Site ID: 0004Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 657-6195Fax: (718) 297-9041Address: 88-83 Van Wyck Expressway, Jamaica, NY 11435County: QueensCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (718) 647-8010CLIA #: 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 Ellenville and Ellenville Women's Vets PFI: T758Secondary Site ID: 0005Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (845) 647-4592Fax: (845) 701-1601Address: 751 Briggs Hwy, Ellenville, NY 12428County: UlsterCountry: 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 43rd Veterans PFI: T758Secondary Site ID: 0006Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (212) 333-5445Fax: (212) 307-7382Address: 327 W 43rd Street, New York, NY 10036County: New YorkCountry: 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 Ed Thompson PFI: T758Secondary Site ID: 0007Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (718) 849-3582Fax: (718) 850-3914Address: 130-15 89th Road, Richmond Hill, NY 11418County: QueensCountry: 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 106 Community Residence PFI: T758Secondary Site ID: 0008Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (212) 864-4128Fax: (212) 663-9193Address: 68 W 106th Street, New York, NY 10025County: New YorkCountry: 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 Harlem OP PFI: T758Secondary Site ID: 0009Certification Type: WAIVERDirector: Tatiana Gouskova, M.D.Phone: (212) 864-4128Fax: (212) 904-1515Address: 2090 Adam Clayton Powell Blvd-Flr 7, New York, NY 10027County: New YorkCountry: United StatesSingle or Primary Contact: Charles MadrayContact Phone: (718) 704-3910CLIA #: 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 Open Door Family Medical Center PFI: T759Secondary Site ID: 0000Certification Type: WAIVERDirector: Daren Wu, M.D.Phone: (845) 279-6999Fax: (845) 279-0908Address: 155 Main Street, Brewster, NY 10509County: PutnamCountry: United StatesSingle or Primary Contact: Madhuri NicolaContact Phone: (914) 881-3769CLIA #: 33D2054395Tests: COVID-19 ANTIGEN Cholesterol Community Screening Drugs of Abuse Glucose Glycosylated Hemoglobin HDL Cholesterol Hemoglobin Influenza LDL Cholesterol Microalbumin pH Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Triglycerides Urinalysis 02/22/2027 Tully Hill Corporation PFI: T760Secondary Site ID: 0000Certification Type: PPMPDirector: Gregory T Serfer, D.O.Phone: (315) 696-6114Fax: (315) 696-8509Address: 5821 Rte 80, Tully, NY 13159County: OnondagaCountry: United StatesSingle or Primary Contact: Cathy L PalmContact Phone: (315) 696-6114CLIA #: 33D2060407Tests: Breath Alcohol Carbon Monoxide Breath Testing Drugs of Abuse Ethanol Glucose Influenza Nicotine Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Strep A Test Urinalysis 06/13/2027 Wyckoff Pediatric Center PFI: T767Secondary Site ID: 0000Certification Type: WAIVERDirector: Wilhelmina P. Cruz-Vetrano, M.D.Phone: (718) 907-4301Fax: Address: 1411 Myrtle Ave, Brooklyn, NY 11237County: KingsCountry: United StatesSingle or Primary Contact: Alexandra ZubokContact Phone: (718) 963-7519CLIA #: 33D2054035Tests: Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 07/31/2027 Wyckoff Heights Medical Center WIC Program Local Agency 285 PFI: T770Secondary Site ID: 0000Certification Type: WAIVERDirector: Wilhelmina P. Cruz-Vetrano, M.D.Phone: (718) 963-6537Fax: (718) 963-6536Address: 316 A Himrod St, Brooklyn, NY 11237County: KingsCountry: United StatesSingle or Primary Contact: Andrew ChambersContact Phone: (718) 963-7519CLIA #: 33D2051323Tests: 12/18/2026 Volunteer Ambulance Corps of Bath NY Inc PFI: T771Secondary Site ID: 0000Certification Type: WAIVERDirector: Werner K Brammer, M.D.Phone: (607) 776-3156Fax: (607) 776-8475Address: 110 E Steuben Street, Bath, NY 14810County: SteubenCountry: United StatesSingle or Primary Contact: Carole TombsContact Phone: (607) 776-3156CLIA #: 33D2054036Tests: 07/29/2025 Upstate Gastroenterology LLC PFI: T774Secondary Site ID: 0000Certification Type: WAIVERDirector: John Savio, M.D.Phone: (315) 464-1616Fax: (315) 464-1617Address: 1000 E Genesee St - Suite 206, Syracuse, NY 13210County: OnondagaCountry: United StatesSingle or Primary Contact: Lorraine BrissendenContact Phone: (315) 464-5402CLIA #: 33D1051896Tests: 01/10/2027 Mount Sinai Beth Israel Medical Group PFI: T775Secondary Site ID: 0000Certification Type: WAIVERDirector: Elizabeth B Enschede, M.D.Phone: (718) 218-0450Fax: (718) 218-0451Address: 135 N 7th Street, Brooklyn, NY 11211County: KingsCountry: United StatesSingle or Primary Contact: Laurie KubotContact Phone: (718) 218-0453CLIA #: 33D2054590Tests: Bacterial Vaginosis, Rapid Blood Lead Glucose Glycosylated Hemoglobin Hemoglobin Helicobacter Pylori Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) Trichomonas, Rapid HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/01/2027 Town Line Volunteer Fire Department Inc PFI: T776Secondary Site ID: 0000Certification Type: WAIVERDirector: John J McNamara, D.O.Phone: (716) 683-0385Fax: (716) 683-0658Address: 6507 Broadway, Lancaster, NY 14086County: ErieCountry: United StatesSingle or Primary Contact: Brett BroskaContact Phone: (716) 683-0385CLIA #: 33D2051477Tests: 12/21/2026 Town Line Fire Department Station 2 PFI: T776Secondary Site ID: 0001Certification Type: WAIVERDirector: John J McNamara, D.O.Phone: (716) 681-1550Fax: (716) 683-0658Address: 63 Cemetery Road, Lancaster, NY 14086County: ErieCountry: United StatesSingle or Primary Contact: Brett BroskaContact Phone: (716) 683-0385CLIA #: 33D2051477Tests: 12/21/2026 Saratoga Hospital Medical Group - Primary Care Malta PFI: T778Secondary Site ID: 0001Certification Type: PPMPDirector: Karin E Borrelli, M.D.Phone: (518) 886-7568Fax: (518) 886-7569Address: 8 Medical Park Drive - Ste 100, Malta, NY 12020County: SaratogaCountry: United StatesSingle or Primary Contact: Shayna BlanchetteContact Phone: (518) 583-8743CLIA #: 33D0863145Tests: COVID-19 ANTIGEN Blood Lead Drugs of Abuse Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Influenza Mononucleosis Occult Blood Potassium Hydroxide (KOH Preps) Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/01/2027 Saratoga Hospital Medical Group Primary Care - Scotia-Glenville PFI: T778Secondary Site ID: 0000Certification Type: PPMPDirector: Karin E Borrelli, M.D.Phone: (518) 399-7723Fax: (518) 399-6428Address: 112 Charlton Road, Ballston Lake, NY 12019County: SchenectadyCountry: United StatesSingle or Primary Contact: Shayna BlanchetteContact Phone: (518) 583-8743CLIA #: 33D0863145Tests: COVID-19 ANTIGEN Blood Lead Drugs of Abuse Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Influenza Mononucleosis Occult Blood Potassium Hydroxide (KOH Preps) Protime Pregnancy Test (Urine) Strep A Test Urinalysis 04/01/2027 St Francis Cardiovascular Physicians PC Great South Bay Med Practice PFI: T780Secondary Site ID: 0000Certification Type: WAIVERDirector: Raymond L Ebarb, M.D.Phone: (631) 563-6205Fax: (631) 563-7718Address: 213 Montauk Highway, West Sayville, NY 11796County: SuffolkCountry: United StatesSingle or Primary Contact: Maria DemailleContact Phone: (631) 563-1215CLIA #: 33D0702174Tests: Glucose Glycosylated Hemoglobin Hemoglobin Influenza Microalbumin Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 03/25/2027 BronxWorks Tremont Testing Unit PFI: T781Secondary Site ID: 0001Certification Type: WAIVERDirector: Andrea W Littleton, M.D.Phone: (718) 716-5559Fax: Address: 151 E Tremont Ave - 2nd Floor, Bronx, NY 10453County: BronxCountry: United StatesSingle or Primary Contact: Noel ConcepcionContact Phone: (718) 716-5559CLIA #: 33D2054379Tests: Community Screening HCV, Rapid HIV, Rapid 02/22/2027 BronxWorks Pyramid Testing Unit PFI: T781Secondary Site ID: 0002Certification Type: WAIVERDirector: Andrea W Littleton, M.D.Phone: (718) 716-5559Fax: Address: 884 Washington Ave, Bronx, NY 10451County: BronxCountry: United StatesSingle or Primary Contact: Noel ConcepcionContact Phone: (718) 716-5559CLIA #: 33D2054379Tests: Community Screening HCV, Rapid HIV, Rapid 02/22/2027