Boonville Family Care PFI: H639Secondary Site ID: 0000Certification Type: WAIVERDirector: Corrine E Rauscher, N.P.Phone: (315) 942-3500Fax: (315) 942-3618Address: 13407 State Rte 12, Boonville, NY 13309County: OneidaCountry: United StatesSingle or Primary Contact: Jessica BlackContact Phone: (315) 338-7106CLIA #: 33D2351745Tests: COVID-19 ANTIGEN Glucose Influenza Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/07/2028 Belmont Fire District PFI: H640Secondary Site ID: 0000Certification Type: WAIVERDirector: Aaron N Farney, M.D.Phone: (585) 268-5550Fax: Address: 5184 State Rte 244, Belmont, NY 14813County: AlleganyCountry: United StatesSingle or Primary Contact: Tina EdmisterContact Phone: (716) 353-0466CLIA #: 33D2351747Tests: 10/07/2028 Amber Court on the Lake LLC PFI: H641Secondary Site ID: 0000Certification Type: WAIVERDirector: Richard S Zito, M.D.Phone: (631) 585-8800Fax: (631) 542-0077Address: 211 Lakeshore Dr, Lake Ronkonkoma, NY 11779County: SuffolkCountry: United StatesSingle or Primary Contact: Debra LaRosaContact Phone: (631) 585-8800CLIA #: 33D2351954Tests: 10/07/2028 Tuxedo Volunteer Ambulance Corps Inc PFI: H642Secondary Site ID: 0000Certification Type: WAIVERDirector: Dennis Mao, M.D.Phone: (845) 351-4400Fax: Address: 1 Contractors Rd, Tuxedo Park, NY 10987County: OrangeCountry: United StatesSingle or Primary Contact: Aiden KilduffContact Phone: (917) 613-1634CLIA #: 33D2351955Tests: 10/07/2028 Amish Purohit MD PLLC PFI: H643Secondary Site ID: 0000Certification Type: WAIVERDirector: David Lutz, P.A.Phone: (516) 212-4000Fax: (516) 620-9174Address: 945 Broadway, Woodmere, NY 11598County: NassauCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2351956Tests: COVID-19 ANTIGEN Community Screening Glucose Influenza Mononucleosis Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 11/01/2028 Laboratory Corporation of America Holdings PFI: H644Secondary Site ID: 0000Certification Type: WAIVERDirector: Fan Chen, M.D., Ph.D.Phone: (201) 247-3113Fax: (855) 618-1682Address: 49 Forest Rd - 2nd Fl Laboratory Rm, Monroe, NY 10950County: OrangeCountry: United StatesSingle or Primary Contact: Gloria HernandezContact Phone: (201) 247-3113CLIA #: 33D2352688Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Influenza Protime Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/25/2028 Laboratory Corporation of America Holdings PFI: H645Secondary Site ID: 0000Certification Type: WAIVERDirector: Fan Chen, M.D., Ph.D.Phone: (732) 261-1139Fax: (855) 618-1682Address: 48 Bakertown Rd - 2nd Fl Laboratory Rm, Monroe, NY 10950County: OrangeCountry: United StatesSingle or Primary Contact: Gloria HernandezContact Phone: (201) 247-3113CLIA #: 33D2352689Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Influenza Protime Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/25/2028 Baldwin Volunteer Fire Department PFI: H654Secondary Site ID: 0000Certification Type: WAIVERDirector: Marc Immerman, M.D.Phone: (607) 215-4457Fax: (607) 734-3068Address: 460 Breesport - North Chemung Department, Lowman, NY 14861County: ChemungCountry: United StatesSingle or Primary Contact: Paul SteinerContact Phone: (607) 732-9099CLIA #: 33D2352188Tests: 10/31/2028 CS Medical Associates PC PFI: H658Secondary Site ID: 0000Certification Type: WAIVERDirector: Paolo T Coppola, M.D.Phone: (631) 696-4357Fax: (631) 846-8138Address: 101 Hillside Ave - Ste D, Willston park, NY 11596County: NassauCountry: United StatesSingle or Primary Contact: Tracey WallaceContact Phone: (631) 696-4357CLIA #: 33D2352189Tests: Drugs of Abuse Glucose Influenza HIV, Rapid Strep A Test Urinalysis 10/19/2028 iCure Pharmacy Inc PFI: H659Secondary Site ID: 0000Certification Type: WAIVERDirector: Marie S Ribisi, Pharm.D.Phone: (718) 516-4444Fax: (718) 540-7692Address: 2110 Newton Ave - 1st Fl, Long Island City, NY 11102County: QueensCountry: United StatesSingle or Primary Contact: Marie S RibisiContact Phone: (718) 516-4444CLIA #: 33D2352190Tests: COVID-19 ANTIGEN Influenza COVID-19 MOLECULAR COVID-19 ANTIBODY 10/19/2028 Statcare Urgent and Walk In Medical Care PLLC PFI: H660Secondary Site ID: 0000Certification Type: WAIVERDirector: Priti Jain, M.D.Phone: (917) 310-3371Fax: (516) 938-1554Address: 135 Mineola Blvd, Mineola, NY 11501-3917County: NassauCountry: United StatesSingle or Primary Contact: Pavan NallollaContact Phone: (917) 310-3371CLIA #: 33D2352196Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 10/19/2028 Statcare Urgent and Walk In Medical Care PLLC PFI: H661Secondary Site ID: 0000Certification Type: WAIVERDirector: Priti Jain, M.D.Phone: (917) 310-3371Fax: (516) 938-1554Address: 3007 36th Ave, Long Island City , NY 11106-2314County: QueensCountry: United StatesSingle or Primary Contact: Pavan NallollaContact Phone: (917) 310-3371CLIA #: 33D2352195Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 10/19/2028 Statcare Urgent and Walk In Medical Care PLLC PFI: H662Secondary Site ID: 0000Certification Type: WAIVERDirector: Priti Jain, M.D.Phone: (917) 310-3371Fax: (516) 938-1554Address: 308 Graham Ave, Brooklyn, NY 11211-4904County: KingsCountry: United StatesSingle or Primary Contact: Pavan NallollaContact Phone: (917) 310-3371CLIA #: 33D2352194Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 10/19/2028 Statcare Urgent and Walk In Medical Care PLLC PFI: H663Secondary Site ID: 0000Certification Type: WAIVERDirector: Priti Jain, M.D.Phone: (917) 310-3371Fax: (516) 938-1554Address: 932 E 174th St, Bronx, NY 10460-5202County: BronxCountry: United StatesSingle or Primary Contact: Pavan NallollaContact Phone: (917) 310-3371CLIA #: 33D2352193Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Urinalysis 10/19/2028 Oval Pharmacy PFI: H664Secondary Site ID: 0000Certification Type: WAIVERDirector: Baah Asante, M.D.Phone: (718) 654-2200Fax: (718) 515-9118Address: 255 E Gun Hill Rd, Bronx, NY 10467County: BronxCountry: United StatesSingle or Primary Contact: Pranav GaglaniContact Phone: (718) 654-2200CLIA #: 33D2352192Tests: COVID-19 ANTIGEN Glycosylated Hemoglobin Influenza COVID-19 MOLECULAR COVID-19 ANTIBODY 10/19/2028 TownHouse Center for Rehabilitation and Nursing PFI: L002Secondary Site ID: 0000Certification Type: WAIVERDirector: Irving H Gomolin, M.D.Phone: (516) 565-1900Fax: (516) 565-5818Address: 755 Hempstead Tpk, Uniondale, NY 11553County: NassauCountry: United StatesSingle or Primary Contact: Meredith RitchieContact Phone: (516) 565-1900CLIA #: 33D0928266Tests: 03/01/2028 Bard College Student Health Service PFI: L003Secondary Site ID: 0000Certification Type: PPMPDirector: Teitel Yakira, M.D.Phone: (845) 758-7433Fax: (845) 758-7437Address: Robbins Annex, Annandale-On-Hudson, NY 12504County: DutchessCountry: United StatesSingle or Primary Contact: Dr. Yakira TeitelContact Phone: (845) 758-7433CLIA #: 33D0928574Tests: COVID-19 ANTIGEN Community Screening Direct Wet Mount Preps Glucose Influenza Mononucleosis Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) HIV, Rapid Strep A Test Syphilis Antibodies Urinalysis 01/13/2028 Simon's Rock at Bard College Student Health Center PFI: L003Secondary Site ID: 0002Certification Type: PPMPDirector: Teitel Yakira, M.D.Phone: (845) 752-5636Fax: (845) 752-5646Address: 30 Seminary Rd - Rm E630, Barrytown, NY 12507County: DutchessCountry: United StatesSingle or Primary Contact: Dr. Yakira TeitelContact Phone: (845) 758-7433CLIA #: 33D0928574Tests: COVID-19 ANTIGEN Community Screening Direct Wet Mount Preps Glucose Influenza Mononucleosis Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) HIV, Rapid Strep A Test Syphilis Antibodies Urinalysis 01/13/2028 Bard EMS PFI: L003Secondary Site ID: 0001Certification Type: PPMPDirector: Teitel Yakira, M.D.Phone: (845) 752-4010Fax: (845) 758-7437Address: 30 Campus Rd, Annadale-On-Hudson, NY 12504County: DutchessCountry: United StatesSingle or Primary Contact: Dr. Yakira TeitelContact Phone: (763) 486-3883CLIA #: 33D0928574Tests: COVID-19 ANTIGEN Community Screening Direct Wet Mount Preps Glucose Influenza Mononucleosis Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) HIV, Rapid Strep A Test Syphilis Antibodies Urinalysis 01/13/2028 Hamilton County Public Health Nursing Service PFI: L005Secondary Site ID: 0000Certification Type: WAIVERDirector: Russell E Rider, M.D.Phone: (518) 648-6141Fax: (518) 648-6143Address: 139 White Birch Lane, Indian Lake, NY 12842County: HamiltonCountry: United StatesSingle or Primary Contact: Junie DelizoContact Phone: (518) 648-6141CLIA #: 33D0705635Tests: COVID-19 ANTIGEN Community Screening Glucose Hemoglobin Protime COVID-19 MOLECULAR Urinalysis 01/15/2028