CMH - Main Street Family Care PFI: W786Secondary Site ID: 0001Certification Type: WAIVERDirector: Rakel M Astorga, M.D.Phone: (518) 622-3200Fax: (518) 622-3202Address: 130 Main St, Cairo, NY 12413County: GreeneCountry: United StatesSingle or Primary Contact: Arlene WalchContact Phone: (518) 697-7800CLIA #: 33D1105866Tests: Community Screening Glucose Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/09/2027 CMH - Tannersville Family Care PFI: W786Secondary Site ID: 0002Certification Type: WAIVERDirector: Rakel M Astorga, M.D.Phone: (518) 589-6843Fax: (518) 589-6844Address: 6171 Rte 23A, Tannersville, NY 12485County: GreeneCountry: United StatesSingle or Primary Contact: Arlene WalchContact Phone: (518) 697-7800CLIA #: 33D1105866Tests: Community Screening Glucose Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/09/2027 CMH - Lafayette Family Care PFI: W786Secondary Site ID: 0000Certification Type: WAIVERDirector: Rakel M Astorga, M.D.Phone: (518) 731-7770Fax: (518) 731-7710Address: 24 Lafayette Ave, Coxsackie, NY 12051County: GreeneCountry: United StatesSingle or Primary Contact: Arlene WalchContact Phone: (518) 697-7800CLIA #: 33D1105866Tests: Community Screening Glucose Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/09/2027 Valley Residential Services Inc PFI: W787Secondary Site ID: 0000Certification Type: WAIVERDirector: Colette T Tangel, M.D.Phone: (315) 219-5700Fax: (315) 866-0016Address: 161 Valley Drive, Herkimer, NY 13350County: HerkimerCountry: United StatesSingle or Primary Contact: Jennifer MillerContact Phone: (315) 219-5700CLIA #: 33D2128285Tests: COVID-19 ANTIGEN Glucose COVID-19 MOLECULAR 03/29/2027 West Nassau Dialysis Center PFI: W788Secondary Site ID: 0000Certification Type: WAIVERDirector: Mario Marotta, M.D.Phone: (516) 823-4444Fax: (516) 823-4445Address: 75 Rockaway Ave, Valley Stream, NY 11580County: NassauCountry: United StatesSingle or Primary Contact: Nancy BeltranContact Phone: (516) 823-4444CLIA #: 33D2125233Tests: 02/03/2027 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W789Secondary Site ID: 0000Certification Type: WAIVERDirector: Antoinette Berkeley-Gsegnet, M.D.Phone: (914) 739-1219Fax: (914) 739-2353Address: 1985 Crompond Rd - Bldg D, Cortlandt Manor, NY 10567County: WestchesterCountry: United StatesSingle or Primary Contact: Lisa VarianoContact Phone: (914) 739-0087CLIA #: 33D2124269Tests: Pregnancy Test (Urine) Urinalysis 01/17/2027 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W791Secondary Site ID: 0000Certification Type: WAIVERDirector: Donald Enoch, M.D.Phone: (914) 243-4780Fax: (914) 243-4780Address: 334 Underhill Ave - 5A, Yorktown Heights, NY 10598County: WestchesterCountry: United StatesSingle or Primary Contact: Lisa VarianoContact Phone: (914) 739-0087CLIA #: 33D0935261Tests: COVID-19 ANTIGEN Glucose Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 02/01/2027 Radiology Services of New York PFI: W792Secondary Site ID: 0000Certification Type: WAIVERDirector: Sasan Yasharpour, M.D.Phone: (718) 979-0100Fax: (718) 979-3602Address: 2777 Hylan Blvd, State Island, NY 10306County: RichmondCountry: United StatesSingle or Primary Contact: Nathalie RolonContact Phone: (718) 979-0100CLIA #: 33D2124286Tests: 08/27/2027 Long Beach Assisted Living Hempstead ALP LLC PFI: W794Secondary Site ID: 0000Certification Type: WAIVERDirector: Peyman E Younesi, M.D.Phone: (516) 431-1400Fax: (516) 897-0415Address: 274 W Broadway, Long Beach, NY 11561County: NassauCountry: United StatesSingle or Primary Contact: Avi HeinemanContact Phone: (718) 490-3801CLIA #: 33D2128292Tests: 03/29/2027 Trenton Joint Fire District PFI: W795Secondary Site ID: 0000Certification Type: WAIVERDirector: William S Gaetano, M.D.Phone: (315) 896-5008Fax: (315) 396-5160Address: 8530 Old Poland Road, Barneveld, NY 13304County: OneidaCountry: United StatesSingle or Primary Contact: Cody MinnigContact Phone: (315) 982-0207CLIA #: 33D2128148Tests: 03/27/2027 Presbyterian Residential Community PFI: W799Secondary Site ID: 0000Certification Type: WAIVERDirector: Hamerton D Jeanty, M.D.Phone: (315) 724-9300Fax: (315) 724-7470Address: 4300 Middle Settlement Road, New Hartford, NY 13413County: OneidaCountry: United StatesSingle or Primary Contact: Cole MichelleContact Phone: (315) 724-9300CLIA #: 33D2126428Tests: COVID-19 ANTIGEN Community Screening Glucose 02/28/2027 Southern Tier Community Health Center Network Inc PFI: W803Secondary Site ID: 0000Certification Type: PPMPDirector: Ann Marie Zimmermann, M.D.Phone: (716) 375-7500Fax: (716) 701-6854Address: 445 Broad Street, Salamanca, NY 14779County: CattaraugusCountry: United StatesSingle or Primary Contact: Alicia SipkoContact Phone: (716) 701-6849CLIA #: 33D2128733Tests: COVID-19 ANTIGEN Blood Lead Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis Urine Sediment Exams 04/05/2027 St Francis Commons Inc PFI: W804Secondary Site ID: 0000Certification Type: WAIVERDirector: Renante Ignacio, M.D.Phone: (315) 326-0870Fax: (315) 326-0871Address: 12 Burkle Street, Oswego, NY 13126County: OswegoCountry: United StatesSingle or Primary Contact: Kelley GreeneContact Phone: (315) 326-0870CLIA #: 33D2124277Tests: 08/05/2027 Brighton Medical Associates PFI: W805Secondary Site ID: 0000Certification Type: PPMPDirector: Digant M Nanavati, M.D.Phone: (315) 218-7020Fax: (315) 218-7050Address: 182 Intrepid Lane, Syracuse, NY 13205County: OnondagaCountry: United StatesSingle or Primary Contact: Dawn NendzaContact Phone: (315) 218-7020CLIA #: 33D0713543Tests: Blood Lead Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) Strep A Test Urinalysis Urine Sediment Exams 01/17/2027 Ramachandran-Widewaters Gynecology PFI: W806Secondary Site ID: 0000Certification Type: WAIVERDirector: Melanie D Ramachandran, M.D.Phone: (315) 471-4911Fax: (315) 471-8024Address: 5844 Widewaters Parkway, East Syracuse, NY 13057County: OnondagaCountry: United StatesSingle or Primary Contact: Danielle PirwitzContact Phone: (315) 478-1601CLIA #: 33D0987036Tests: Pregnancy Test (Urine) Thyroid Stimulating Hormone (TSH) Urinalysis 01/17/2027 NYU Langone OB/GYN Associates- Glendale and Great Neck PFI: W807Secondary Site ID: 0005Certification Type: PPMPDirector: Martin R. Chavez, M.D.Phone: (516) 466-4128Fax: (516) 482-1822Address: 600 Northern Blvd - Siute 106, Great Neck, NY 11021County: NassauCountry: United StatesSingle or Primary Contact: Claudia D. UrenaContact Phone: (516) 663-3114CLIA #: 33D2125635Tests: Direct Wet Mount Preps Fern Tests Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) pH Protime Pregnancy Test (Urine) Strep A Test Urinalysis Urine Sediment Exams 02/10/2027 NYU Langone Women's Health Assoc - New Hyde Park PFI: W807Secondary Site ID: 0006Certification Type: PPMPDirector: Martin R. Chavez, M.D.Phone: (516) 358-1200Fax: (516) 663-8824Address: 2500 Marcus Ave - Suite 105, New Hyde Park, NY 11042County: NassauCountry: United StatesSingle or Primary Contact: Claudia D. UrenaContact Phone: (516) 663-3114CLIA #: 33D2125635Tests: Direct Wet Mount Preps Fern Tests Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) pH Protime Pregnancy Test (Urine) Strep A Test Urinalysis Urine Sediment Exams 02/10/2027 NYU Langone Medical Assoc - 530 Hicksville Road PFI: W807Secondary Site ID: 0007Certification Type: PPMPDirector: Martin R. Chavez, M.D.Phone: (516) 240-7940Fax: (516) 358-2340Address: 530 Hicksville Road, Bethpage, NY 11714County: NassauCountry: United StatesSingle or Primary Contact: Claudia D. UrenaContact Phone: (516) 663-3114CLIA #: 33D2125635Tests: Direct Wet Mount Preps Fern Tests Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) pH Protime Pregnancy Test (Urine) Strep A Test Urinalysis Urine Sediment Exams 02/10/2027 NYU Langone Medical Associates - Valley Stream PFI: W807Secondary Site ID: 0000Certification Type: PPMPDirector: Martin R. Chavez, M.D.Phone: (516) 663-3034Fax: (516) 663-8824Address: 70 E Sunrise Hwy - Suite 515, Valley Stream, NY 11581County: NassauCountry: United StatesSingle or Primary Contact: Claudia D. UrenaContact Phone: (516) 663-3114CLIA #: 33D2125635Tests: Direct Wet Mount Preps Fern Tests Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) pH Protime Pregnancy Test (Urine) Strep A Test Urinalysis Urine Sediment Exams 02/10/2027 South Shore University Hospital - Employee Health Services PFI: W814Secondary Site ID: 0001Certification Type: WAIVERDirector: Dominick S. Giovanniello, D.O., M.D.Phone: (631) 414-3291Fax: Address: 280 E Main St, Bayshore, NY 11706County: SuffolkCountry: United StatesSingle or Primary Contact: Robert HasleyContact Phone: (631) 968-3224CLIA #: 33D2130780Tests: Glucose Pregnancy Test (Urine) 05/17/2027