Jericho Road Community Health Center PFI: Z228Secondary Site ID: 0000Certification Type: PPMPDirector: Carla R Henke, M.D.Phone: (716) 529-3020Fax: (716) 529-3040Address: 1021 Broadway St, Buffalo, NY 14212County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2192904Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Glycosylated Hemoglobin Hemoglobin Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2026 Jericho Road Community Health Center PFI: Z229Secondary Site ID: 0000Certification Type: PPMPDirector: Karyanne L Carrizales, P.A.Phone: (716) 919-6870Fax: (716) 919-6871Address: 100 E Tupper St, Buffalo, NY 14203County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2193162Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Hemoglobin Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2026 Jericho Road Community Health Center PFI: Z231Secondary Site ID: 0000Certification Type: PPMPDirector: Takesha L Leonard, N.P.Phone: (716) 892-2775Fax: (716) 597-0554Address: 21 Doat St, Buffalo, NY 14211County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2193165Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Hemoglobin Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2026 BronxCare - Mount Sinai Comprehensive Cancer Care PFI: Z232Secondary Site ID: 0000Certification Type: WAIVERDirector: AAM A. Baqui, M.D., Ph.D.Phone: (718) 239-8359Fax: (718) 579-3901Address: 1775 Grand Concource - 4th Floor, Bronx, NY 10457County: BronxCountry: United StatesSingle or Primary Contact: James DunneContact Phone: (718) 518-5197CLIA #: 33D2192885Tests: 09/15/2026 The Carlucci Home PFI: Z235Secondary Site ID: 0000Certification Type: WAIVERDirector: Edward J Bieniewicz, M.D.Phone: (845) 355-7700Fax: (845) 355-2082Address: 516 Mullock Rd, Port Jervis, NY 12771County: OrangeCountry: United StatesSingle or Primary Contact: Jennie CarlucciContact Phone: (914) 443-6835CLIA #: 33D2192285Tests: COVID-19 ANTIGEN Urinalysis 09/09/2026 Queens Boulevard Extended Care Facility Dialysis Center LLC PFI: Z236Secondary Site ID: 0000Certification Type: WAIVERDirector: Nimesh A Patel, M.D.Phone: (718) 205-8822Fax: (718) 205-8823Address: 61-11 Queens Blvd, Woodside, NY 11377County: QueensCountry: United StatesSingle or Primary Contact: Jonathan MawereContact Phone: (718) 205-0287CLIA #: 33D2192287Tests: COVID-19 ANTIGEN Glucose Influenza COVID-19 MOLECULAR Strep A Test 09/09/2026 St Joseph's Hospital Skilled Nursing Facility PFI: Z238Secondary Site ID: 0000Certification Type: WAIVERDirector: Francisco J Corbalan, M.D.Phone: (607) 733-6541Fax: (607) 271-3406Address: 555 St Joseph's Blvd, Elmira, NY 14901County: ChemungCountry: United StatesSingle or Primary Contact: John L ZehrContact Phone: (607) 733-6541CLIA #: 33D2192292Tests: 09/09/2026 Surge Rehabilitation and Nursing PFI: Z240Secondary Site ID: 0000Certification Type: WAIVERDirector: Igor A Gutnik, M.D.Phone: (631) 995-2900Fax: (631) 995-2702Address: 49 Oakcrest Ave, Middle Island, NY 11953County: SuffolkCountry: United StatesSingle or Primary Contact: Turquoise ClintonContact Phone: (631) 995-2900CLIA #: 33D2192300Tests: 09/09/2026 East Patchogue Dialysis PFI: Z242Secondary Site ID: 0000Certification Type: WAIVERDirector: Mohammed S Rahman, M.D.Phone: (631) 447-2401Fax: (631) 447-2406Address: 479 E Main St, Patchogue, NY 11772County: SuffolkCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2192303Tests: 09/14/2026 WG Woodlands SH LLC PFI: Z246Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (914) 274-0240Fax: (502) 779-4749Address: 1017 Saw Mill River Rd, Ardsley, NY 10502County: WestchesterCountry: United StatesSingle or Primary Contact: Davita Andrew-NandlallContact Phone: (914) 693-7700CLIA #: 33D2192916Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 WG Bayshore SH LLC PFI: Z247Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (631) 206-1200Fax: (502) 779-4749Address: 53 Ocean Ave, Bay Shore, NY 11706County: SuffolkCountry: United StatesSingle or Primary Contact: Lindsay NegronContact Phone: (631) 206-1200CLIA #: 33D2192918Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 WG 86th Street SH LLC PFI: Z248Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (212) 712-0200Fax: (502) 779-4749Address: 333 W 86th St, New York, NY 10024County: New YorkCountry: United StatesSingle or Primary Contact: Aneta BigosContact Phone: (212) 712-0200CLIA #: 33D2192920Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 WG Tanglewood SH LLC PFI: Z249Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (516) 256-0088Fax: (502) 779-4749Address: 125 Ocean Ave, Lynbrook, NY 11563County: New YorkCountry: United StatesSingle or Primary Contact: Christina TsukalasContact Phone: (516) 256-0088CLIA #: 33D2192921Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 Downtown Brooklyn Nursing Rehabilitation Center PFI: Z250Secondary Site ID: 0000Certification Type: WAIVERDirector: Emil Baccash, M.D.Phone: (718) 636-1000Fax: Address: 520 Prospect Place, Brooklyn, NY 11238County: KingsCountry: United StatesSingle or Primary Contact: Gabrielle ShnaydermanContact Phone: (718) 636-1000CLIA #: 33D2193812Tests: COVID-19 ANTIGEN Glucose Influenza 09/25/2026 WG South Setauket SH LLC PFI: Z251Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (631) 473-8000Fax: (502) 779-4749Address: 4089 Nesconset Hwy, South Setauket, NY 11720County: SuffolkCountry: United StatesSingle or Primary Contact: Julie JannotteContact Phone: (631) 473-8000CLIA #: 33D2192923Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 Peregrine Shaker PFI: Z252Secondary Site ID: 0000Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 465-4444Fax: (518) 465-2127Address: 345 Northern Blvd, Albany, NY 12204County: AlbanyCountry: United StatesSingle or Primary Contact: Kristyn GanimContact Phone: (518) 465-4444CLIA #: 33D2192925Tests: 09/16/2026 VTR Rye Brook LLC PFI: Z253Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (914) 939-2900Fax: (502) 779-4749Address: 1200 King St, Rye Brook, NY 10573County: WestchesterCountry: United StatesSingle or Primary Contact: Linda FaridiContact Phone: (914) 939-2900CLIA #: 33D2192927Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 WG Roslyn LLC PFI: Z254Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (516) 626-6900Fax: (502) 779-4749Address: 100 Landing Rd, Roslyn, NY 11576County: NassauCountry: United StatesSingle or Primary Contact: Anthony GonzalezContact Phone: (516) 626-6900CLIA #: 33D2192929Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 WG Riverdale SH LLC PFI: Z255Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (718) 432-2448Fax: (502) 779-4749Address: 3718-3726 Henry Hudson Pkwy, Riverdale, NY 10463County: BronxCountry: United StatesSingle or Primary Contact: Tamara DonovanContact Phone: (718) 432-2448CLIA #: 33D2192930Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 WG Plainview SH LLC PFI: Z256Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (516) 933-0002Fax: (502) 779-4749Address: 12 Washington Ave, Plainview, NY 11803County: NassauCountry: United StatesSingle or Primary Contact: Kaylon DeMendoncaContact Phone: (516) 933-0002CLIA #: 33D2192933Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026