BCCHC - Annex PFI: S690Secondary Site ID: 0005Certification Type: WAIVERDirector: Janet J Kim, M.D.Phone: (646) 350-2525Fax: (718) 815-6576Address: 2031 Forest Ave - 2nd Fl, Staten Island, NY 10303County: RichmondCountry: United StatesSingle or Primary Contact: Janet KimContact Phone: (917) 348-6291CLIA #: 33D2006276Tests: Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 04/16/2028 Beacon Christian Community Health Center PFI: S690Secondary Site ID: 0000Certification Type: WAIVERDirector: Janet J Kim, M.D.Phone: (718) 815-6560Fax: (718) 815-6576Address: 2079 Forest Avenue, Staten Island, NY 10303County: RichmondCountry: United StatesSingle or Primary Contact: Janet KimContact Phone: (718) 815-6560CLIA #: 33D2006276Tests: Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 04/16/2028 Sunshine Childrens Home and Rehab Center PFI: S693Secondary Site ID: 0000Certification Type: WAIVERDirector: Toni L Salvatore, M.D.Phone: (914) 333-7000Fax: (914) 333-7178Address: 15 Spring Valley Road, Ossining, NY 10562County: WestchesterCountry: United StatesSingle or Primary Contact: Linda MosielloContact Phone: (914) 333-7098CLIA #: 33D2003649Tests: COVID-19 ANTIGEN Adenovirus Bordetella parapertussis Bordetella pertussis Chlamydophila pneumoniae Coronavirus Glucose Human Metapneumovirus Human Rhinovirus/Enterovirus Influenza Ketones Mycoplasma pneumoniae Occult Blood Parainfluenza Virus COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 02/16/2028 Lutheran Augustana Center PFI: S695Secondary Site ID: 0001Certification Type: WAIVERDirector: Kelechi C Ngwangwa, M.D.Phone: (888) 364-3065Fax: Address: 5434 2nd Ave, Brooklyn, NY 11220County: KingsCountry: United StatesSingle or Primary Contact: Octavia MelvinContact Phone: (347) 377-5578CLIA #: 33D2004414Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Influenza Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 03/04/2028 Childrens Health Services PFI: S695Secondary Site ID: 0000Certification Type: WAIVERDirector: Kelechi C Ngwangwa, M.D.Phone: (347) 377-5578Fax: (718) 630-6877Address: 5610 2nd Avenue, Brooklyn, NY 11220County: KingsCountry: United StatesSingle or Primary Contact: Octavia MelvinContact Phone: (347) 377-5578CLIA #: 33D2004414Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Influenza Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 03/04/2028 Women's Health Family Health Center at NYU Langone PFI: S696Secondary Site ID: 0000Certification Type: WAIVERDirector: Meleen Chuang, M.D.Phone: (718) 630-7942Fax: (718) 630-6878Address: 5610 2nd Ave, Brooklyn, NY 11220County: KingsCountry: United StatesSingle or Primary Contact: Christina TsaiContact Phone: (718) 630-6042CLIA #: 33D2004415Tests: Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis 03/04/2028 Samaritan Hospital St Mary's Campus - POCT PFI: S700Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Guilian Niu, M.D.Phone: (518) 268-5516Fax: (518) 268-5752Address: 1300 Massachusetts Avenue, Troy, NY 12180County: RensselaerCountry: United StatesSingle or Primary Contact: Renee NutterContact Phone: (518) 326-7526CLIA #: 33D0707498Tests: COVID-19 ANTIGEN Breath Alcohol Glucose 03/04/2028 Ellenville Regional Hospital PFI: S705Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Marius J. Ilario, M.D.Phone: (845) 647-6400Fax: (845) 210-3018Address: 10 Healthy Way, Ellenville, NY 12428County: UlsterCountry: United StatesSingle or Primary Contact: Clare FarrellContact Phone: (845) 647-6400CLIA #: 33D0163034Tests: 02/26/2028 UHS Primary Care Owego PFI: S706Secondary Site ID: 0000Certification Type: WAIVERDirector: David E. Kwiatkowski, M.D.Phone: (607) 687-0350Fax: (607) 687-0333Address: 42 W Main Street, Owego, NY 13827County: TiogaCountry: United StatesSingle or Primary Contact: Lori SoperContact Phone: (607) 687-0350CLIA #: 33D1073576Tests: Glucose Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/22/2028 GE Healthcare Medical Clinic PFI: S708Secondary Site ID: 0000Certification Type: WAIVERDirector: Vincent J Luvera, D.O.Phone: (518) 874-3251Fax: (518) 874-3372Address: 100 Stone Clay Road, Troy, NY 12180County: RensselaerCountry: United StatesSingle or Primary Contact: Anne AdamsContact Phone: (518) 874-3251CLIA #: 33D2004434Tests: 03/04/2028 Lyncourt Fire District PFI: S715Secondary Site ID: 0000Certification Type: WAIVERDirector: Christopher Thomas Tanski, M.D.Phone: (315) 455-6570Fax: (315) 455-8464Address: 2909 Court Street, Syracuse, NY 13208County: OnondagaCountry: United StatesSingle or Primary Contact: Jeremy FlorczykContact Phone: (315) 466-3567CLIA #: 33D2005455Tests: 04/09/2028 AO Fox Memorial Hospital and Nursing Home PFI: S716Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Daniel M. Schreiber, M.D.Phone: (607) 431-5241Fax: (607) 431-5808Address: 1 Norton Ave, Oneonta, NY 13820County: OtsegoCountry: United StatesSingle or Primary Contact: Kailey BarseContact Phone: (607) 431-5639CLIA #: 33D0168168Tests: Drugs of Abuse Glucose Influenza Occult Blood pH Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/22/2028 Assist Ambulance PFI: S717Secondary Site ID: 0000Certification Type: WAIVERDirector: Robert Birkhan, M.D.Phone: (718) 927-2111Fax: (718) 927-1433Address: 4420 Farragut Rd, Brooklyn, NY 11203County: KingsCountry: United StatesSingle or Primary Contact: Israel ItzkowitzContact Phone: (718) 927-2111CLIA #: 33D2006862Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Hemoglobin Occult Blood Urinalysis 05/03/2028 Medford Multicare Center For The Living PFI: S726Secondary Site ID: 0000Certification Type: WAIVERDirector: Neeru Kumar, M.D.Phone: (631) 730-3000Fax: (631) 286-0703Address: 3115 Horseblock Road, Medford, NY 11763County: SuffolkCountry: United StatesSingle or Primary Contact: Laura KornContact Phone: (631) 730-3005CLIA #: 33D2004608Tests: COVID-19 ANTIGEN Glucose Influenza Occult Blood 03/09/2028 Westfield Memorial Hospital PFI: S727Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Richard W Siegler, M.D.Phone: (716) 793-2272Fax: (716) 793-2321Address: 189 E Main St, Westfield, NY 14787County: ChautauquaCountry: United StatesSingle or Primary Contact: Marianne GehenContact Phone: (716) 793-2272CLIA #: 33D0174179Tests: 03/12/2026 Central Oneida County Volunteer Ambulance Corps PFI: S729Secondary Site ID: 0000Certification Type: WAIVERDirector: Timothy Page, M.D.Phone: (315) 853-2118Fax: (315) 853-2611Address: 7489 E South Street, Clinton, NY 13323County: OneidaCountry: United StatesSingle or Primary Contact: Samantha-Ann WengertContact Phone: (315) 853-2118CLIA #: 33D2007667Tests: 05/24/2028 Gouverneur Hospital PFI: S730Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Spurgeon S Smith, M.D.Phone: (315) 287-1000Fax: (315) 535-9254Address: 77 W Barney Street, Gouverneur, NY 13642County: St. LawrenceCountry: United StatesSingle or Primary Contact: Jamie BeachardContact Phone: (315) 287-1000CLIA #: 33D0167651Tests: 03/22/2028 UHS Primary Care Endwell PFI: S731Secondary Site ID: 0000Certification Type: WAIVERDirector: Eric A Phelan, P.A.Phone: (607) 757-0444Fax: (607) 748-8984Address: 800 Hooper Rd - Suite 200, Endwell, NY 13760County: BroomeCountry: United StatesSingle or Primary Contact: Michelle MellemContact Phone: (607) 757-0444CLIA #: 33D0707679Tests: Glucose Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/12/2028 Nassau Ambulance Inc PFI: S732Secondary Site ID: 0000Certification Type: WAIVERDirector: Heidi P Cordi, M.D.Phone: (518) 838-0550Fax: (518) 838-0411Address: 498 McClellan Road, Nassau, NY 12123County: RensselaerCountry: United StatesSingle or Primary Contact: Mary Cray-LowderContact Phone: (518) 838-0550CLIA #: 33D2009752Tests: Community Screening Glucose 07/13/2028 Pine Bush Area Volunteer Ambulance Corps PFI: S733Secondary Site ID: 0000Certification Type: WAIVERDirector: Nicki E Maxwell, M.D.Phone: (845) 744-5391Fax: (845) 744-8276Address: 131 Center Street, Pine Bush, NY 12566County: OrangeCountry: United StatesSingle or Primary Contact: Brett CohenContact Phone: (845) 590-4537CLIA #: 33D2014341Tests: 10/06/2026