Glen at Cherry Ridge LLC PFI: E766Secondary Site ID: 0000Certification Type: WAIVERDirector: Kim Petrone, M.D.Phone: (585) 697-6411Fax: (585) 342-9166Address: 900 Cherry Ridge Blvd, Webster, NY 14580County: MonroeCountry: United StatesSingle or Primary Contact: Eve ScofieldContact Phone: (585) 697-6411CLIA #: 33D2246675Tests: 12/29/2025 Chai Fulton PFI: E800Secondary Site ID: 0000Certification Type: WAIVERDirector: Sampson M Davis, M.D.Phone: (844) 972-2424Fax: (607) 354-3173Address: 1135 Fulton St, Brooklyn, NY 11218County: KingsCountry: United StatesSingle or Primary Contact: Toby FriedmanContact Phone: (212) 257-2424CLIA #: 33D2246981Tests: COVID-19 ANTIGEN Bacterial Vaginosis, Rapid B-Type Natriuretic Peptide (BNP) Cholesterol Community Screening Glucose Hemoglobin Hematocrit Influenza Occult Blood Protime Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/07/2026 Chai Fordham PFI: E801Secondary Site ID: 0000Certification Type: WAIVERDirector: Sampson M Davis, M.D.Phone: (844) 972-2424Fax: (607) 354-3173Address: 361 E Fordham Rd, Bronx, NY 10458County: BronxCountry: United StatesSingle or Primary Contact: Toby FriedmanContact Phone: (212) 257-2424CLIA #: 33D2246979Tests: COVID-19 ANTIGEN Bacterial Vaginosis, Rapid B-Type Natriuretic Peptide (BNP) Cholesterol Community Screening Glucose Hemoglobin Hematocrit Influenza Occult Blood Protime Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/07/2026 Care365 Lab PFI: E802Secondary Site ID: 0000Certification Type: WAIVERDirector: Kevin Munjai, M.D.Phone: (833) 433-2273Fax: (516) 283-2568Address: 255 Executive Dr - Suite 210B, Plainview, NY 11803County: NassauCountry: United StatesSingle or Primary Contact: Dr. Kevin MunjalContact Phone: (833) 433-2273CLIA #: 33D2246923Tests: COVID-19 ANTIGEN Community Screening Glucose Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis 01/03/2026 Interventional Physical Medicine and Rehab of NY PLLC DBA Asend Regen PFI: E803Secondary Site ID: 0000Certification Type: WAIVERDirector: Manish Mammen, M.D.Phone: (516) 888-7614Fax: (516) 888-7610Address: 1615 Northern Blvd Suite GR1, Manhasset, NY 11030County: NassauCountry: United StatesSingle or Primary Contact: Teresa RiveraContact Phone: (516) 888-7614CLIA #: 33D2246924Tests: COVID-19 ANTIGEN Community Screening Influenza COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) 01/03/2026 Josef Schenker MDPC DBA Centers Urgent Care PFI: E806Secondary Site ID: 0000Certification Type: WAIVERDirector: Josef D Schenker, M.D.Phone: (212) 227-5400Fax: (718) 502-3888Address: 2 W 86th St, New York, NY 10024County: New YorkCountry: United StatesSingle or Primary Contact: Dave SingerContact Phone: (718) 502-3909CLIA #: 33D2246926Tests: COVID-19 ANTIGEN Community Screening Glucose Hemoglobin Hematocrit Influenza Occult Blood Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/03/2026 Gary J Stadtmauer MD PLLC PFI: E809Secondary Site ID: 0000Certification Type: WAIVERDirector: Gary J Stadtmauer, M.D.Phone: (212) 809-1186Fax: (877) 972-4622Address: 120 E 56th St - Suite 500, New York, NY 10022County: New YorkCountry: United StatesSingle or Primary Contact: Fabiola PerezContact Phone: (212) 809-1186CLIA #: 33D2273438Tests: Influenza COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test 01/01/2027 Madison County EMS PFI: E811Secondary Site ID: 0000Certification Type: WAIVERDirector: Kirby P Black, M.D.Phone: (315) 366-2788Fax: (315) 366-2452Address: 138 N Court St, Wampsville, NY 13163County: MadisonCountry: United StatesSingle or Primary Contact: Jenna IllingworthContact Phone: (315) 366-2788CLIA #: 33D2246978Tests: COVID-19 ANTIGEN Community Screening Glucose 01/07/2026 Crisis Respite House PFI: E817Secondary Site ID: 0005Certification Type: WAIVERDirector: Joanne Astill, M.D.Phone: (518) 574-4500Fax: (518) 563-3704Address: 126 Court St, Plattsburgh, NY 12901County: ClintonCountry: United StatesSingle or Primary Contact: Darcie GoffContact Phone: 51856380002272CLIA #: 33D2249086Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glycosylated Hemoglobin HCV, Rapid HIV, Rapid Complete Blood Count 01/24/2026 Supported Housing PFI: E817Secondary Site ID: 0004Certification Type: WAIVERDirector: Joanne Astill, M.D.Phone: (518) 324-2184Fax: (518) 562-8125Address: 34 Ampersand, Plattsburgh, NY 12901County: ClintonCountry: United StatesSingle or Primary Contact: Darcie GoffContact Phone: 51856380002272CLIA #: 33D2249086Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glycosylated Hemoglobin HCV, Rapid HIV, Rapid Complete Blood Count 01/24/2026 Twin Oaks PFI: E817Secondary Site ID: 0001Certification Type: WAIVERDirector: Joanne Astill, M.D.Phone: (518) 562-8119Fax: (518) 562-8126Address: 75 Oak St, Plattsburgh, NY 12901County: ClintonCountry: United StatesSingle or Primary Contact: Darcie GoffContact Phone: 51856380002272CLIA #: 33D2249086Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glycosylated Hemoglobin HCV, Rapid HIV, Rapid Complete Blood Count 01/24/2026 Apartment Program PFI: E817Secondary Site ID: 0003Certification Type: WAIVERDirector: Joanne Astill, M.D.Phone: (518) 569-8168Fax: (518) 562-8125Address: 69 Margaret St, Plattsburgh, NY 12901County: ClintonCountry: United StatesSingle or Primary Contact: Darcie GoffContact Phone: 51856380002272CLIA #: 33D2249086Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glycosylated Hemoglobin HCV, Rapid HIV, Rapid Complete Blood Count 01/24/2026 Breakthrough II PFI: E817Secondary Site ID: 0002Certification Type: WAIVERDirector: Joanne Astill, M.D.Phone: (518) 563-3710Fax: (518) 562-8125Address: 200 Cornelia St, Plattsburgh, NY 12901County: ClintonCountry: United StatesSingle or Primary Contact: Darcie GoffContact Phone: 51856380002272CLIA #: 33D2249086Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glycosylated Hemoglobin HCV, Rapid HIV, Rapid Complete Blood Count 01/24/2026 Behavior Health Services PFI: E817Secondary Site ID: 0000Certification Type: WAIVERDirector: Joanne Astill, M.D.Phone: (518) 563-8000Fax: Address: 2155 NY 22B, Morrisonville, NY 12962County: ClintonCountry: United StatesSingle or Primary Contact: Darcie GoffContact Phone: (518) 563-8000CLIA #: 33D2249086Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glycosylated Hemoglobin HCV, Rapid HIV, Rapid Complete Blood Count 01/24/2026 Black Nurses Coalition PFI: E818Secondary Site ID: 0000Certification Type: WAIVERDirector: Brenda J Robinson, Ph.D.Phone: (518) 596-0936Fax: Address: 692 N Pearl St, Albany, NY 12204County: AlbanyCountry: United StatesSingle or Primary Contact: Brenda Robinson, Ph.D.Contact Phone: (518) 596-0936CLIA #: 33D2249088Tests: COVID-19 ANTIGEN Cholesterol Community Screening Glucose Glycosylated Hemoglobin Pregnancy Test (Urine) Urinalysis 01/24/2026 ValuePlus Pharmacy PFI: E819Secondary Site ID: 0000Certification Type: WAIVERDirector: Amna Rauf, P.A.Phone: (914) 961-1185Fax: (914) 961-1226Address: 485 Tuckahoe Rd, Yonkers, NY 10710County: WestchesterCountry: United StatesSingle or Primary Contact: Abdul RaufContact Phone: (914) 961-1185CLIA #: 33D2210162Tests: COVID-19 ANTIGEN Community Screening 01/28/2026 Reynolds Elementary School PFI: E820Secondary Site ID: 0007Certification Type: WAIVERDirector: Katie C Cazzolli, N.P.Phone: (315) 638-6126Fax: (315) 638-6169Address: 222 Deerwood Dr, Baldwinsville, NY 13027County: OnondagaCountry: United StatesSingle or Primary Contact: Joseph DeBarbieriContact Phone: (315) 638-6124CLIA #: 33D2248943Tests: COVID-19 ANTIGEN Community Screening 01/19/2026 Ray Middle School PFI: E820Secondary Site ID: 0006Certification Type: WAIVERDirector: Katie C Cazzolli, N.P.Phone: (315) 638-6111Fax: (315) 638-7406Address: 7650 Van Buren Rd, Baldwinsville, NY 13027County: OnondagaCountry: United StatesSingle or Primary Contact: Joseph DeBarbieriContact Phone: (315) 638-6106CLIA #: 33D2248943Tests: COVID-19 ANTIGEN Community Screening 01/19/2026 Baldwinsville Central School District PFI: E820Secondary Site ID: 0000Certification Type: WAIVERDirector: Katie C Cazzolli, N.P.Phone: (315) 638-6043Fax: (315) 638-6041Address: 29 E Oneida St, Baldwinsville, NY 13027County: OnondagaCountry: United StatesSingle or Primary Contact: Joseph DeBarbieriContact Phone: (315) 638-6043CLIA #: 33D2248943Tests: COVID-19 ANTIGEN Community Screening 01/19/2026 Van Buren Elementary PFI: E820Secondary Site ID: 0008Certification Type: WAIVERDirector: Katie C Cazzolli, N.P.Phone: (315) 638-6123Fax: (315) 638-6170Address: 20 Ford St, Baldwinsville, NY 13027County: OnondagaCountry: United StatesSingle or Primary Contact: Joseph DeBarbieriContact Phone: (315) 638-6121CLIA #: 33D2248943Tests: COVID-19 ANTIGEN Community Screening 01/19/2026