Evans Mills Volunteer Ambulance Squad Inc PFI: T443Secondary Site ID: 0000Certification Type: WAIVERDirector: Maja L. Lundborg-Gray, M.D.Phone: (315) 629-6081Fax: (315) 629-6088Address: 8733 Factory Street, Evans Mills, NY 13637County: JeffersonCountry: United StatesSingle or Primary Contact: Leah MurphyContact Phone: (315) 783-7782CLIA #: 33D2034160Tests: 12/21/2027 Verdun Home Health Care Agency Inc PFI: T444Secondary Site ID: 0000Certification Type: WAIVERDirector: Reginald D Hughes, M.D.Phone: (718) 528-3432Fax: (718) 528-3303Address: 232-14 Merrick Blvd, Laurelton, NY 11413County: QueensCountry: United StatesSingle or Primary Contact: Mildred GonsalvesContact Phone: (718) 528-3432CLIA #: 33D2033673Tests: 05/13/2026 Maimonides Faculty Practice Plan PFI: T447Secondary Site ID: 0000Certification Type: WAIVERDirector: Chaim Gitelis, D.O.Phone: (718) 645-1199Fax: (718) 645-1911Address: 3619 Bedford Ave, Ste 1K, Brooklyn, NY 11210County: KingsCountry: United StatesSingle or Primary Contact: Dr. Orrin LippoffContact Phone: (917) 301-3300CLIA #: 33D2034474Tests: Alanine Aminotransferase (ALT) Aspartate Aminotransferase (AST) Blood Urea Nitrogen (BUN) B-Type Natriuretic Peptide (BNP) Carbon Dioxide Calcium Chloride Cholesterol Creatinine Erythrocyte Sedimentation Rate (ESR) Glucose HDL Cholesterol Hemoglobin Hematocrit LDL Cholesterol Occult Blood Potassium Protime Sodium Strep A Test Thyroid Stimulating Hormone (TSH) Triglycerides Urinalysis 12/28/2027 Island Rehab Services - Commack Long Island PFI: T449Secondary Site ID: 0000Certification Type: WAIVERDirector: Morton J. Kleiner, M.D.Phone: (631) 715-2740Fax: (631) 715-2748Address: 68 Hauppauge Rd, Commack, NY 11725County: SuffolkCountry: United StatesSingle or Primary Contact: Dominic LicciardiContact Phone: (718) 987-5942CLIA #: 33D2034186Tests: 12/21/2027 Kew Gardens Dialysis Center PFI: T450Secondary Site ID: 0000Certification Type: WAIVERDirector: Michael M Goldman, M.D.Phone: (718) 973-3341Fax: Address: 120-46 Queens Blvd, Kew gardens, NY 11415County: QueensCountry: United StatesSingle or Primary Contact: Dominic LicciardiContact Phone: (718) 987-5942CLIA #: 33D2034178Tests: 12/21/2027 Grand Concourse Dialysis Facility PFI: T452Secondary Site ID: 0000Certification Type: WAIVERDirector: Morton J. Kleiner, M.D.Phone: (718) 583-1800Fax: (718) 583-4160Address: 1490 Macombs Rd, Bronx, NY 10452County: BronxCountry: United StatesSingle or Primary Contact: Dominic LicciardiContact Phone: (718) 987-5942CLIA #: 33D2047484Tests: 09/25/2028 BHHS ACE (Assess.Connect.Engage) Team NYC DOHMH PFI: T456Secondary Site ID: 0000Certification Type: WAIVERDirector: Benjamin W Tsoi, M.D.Phone: (347) 396-7601Fax: (347) 396-8825Address: 42-09 28th St - 22nd Fl CN-44, Long Island City, NY 11101County: QueensCountry: United StatesSingle or Primary Contact: Leonard PickettContact Phone: (347) 396-7688CLIA #: 33D2035355Tests: Community Screening HCV, Rapid HIV, Rapid Syphilis Antibodies 01/18/2028 DCI Albany NY PFI: T457Secondary Site ID: 0000Certification Type: WAIVERDirector: Loay H Salman, M.D.Phone: (518) 456-2429Fax: (518) 456-2959Address: 176 Washington Ave Ext - Suite 100, Albany, NY 12203County: AlbanyCountry: United StatesSingle or Primary Contact: Christine ScrobolaContact Phone: (518) 456-2429CLIA #: 33D2034484Tests: 12/28/2027 CMH Rapid Care Valatie PFI: T458Secondary Site ID: 0000Certification Type: WAIVERDirector: Michael Weisberg, M.D.Phone: (518) 758-4300Fax: (518) 758-1356Address: 2827 US Rte 9, Valatie, NY 12184County: ColumbiaCountry: United StatesSingle or Primary Contact: Arlene WalchContact Phone: (518) 697-7800CLIA #: 33D2034483Tests: Community Screening Glucose Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 12/28/2027 CMH - Rapid Care Catskill PFI: T458Secondary Site ID: 0001Certification Type: WAIVERDirector: Michael Weisberg, M.D.Phone: (518) 943-9100Fax: (518) 943-9101Address: 10 Grandview Ave, Catskill, NY 12414County: GreeneCountry: United StatesSingle or Primary Contact: Arlene WalchContact Phone: CLIA #: 33D2034483Tests: Community Screening Glucose Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 12/28/2027 Sutton Ambulatory Health LLC PFI: T459Secondary Site ID: 0000Certification Type: WAIVERDirector: Jeffrey M Ahn, M.D.Phone: (212) 714-9494Fax: (212) 481-3629Address: 45 Park Ave - 1st Floor, New York, NY 10016County: New YorkCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2041382Tests: Glucose Influenza Pregnancy Test (Urine) Strep A Test 05/25/2028 North Westchester Restorative Therapy and Nursing Center PFI: T460Secondary Site ID: 0000Certification Type: WAIVERDirector: Josmi Joseph, M.D.Phone: (914) 528-2000Fax: (914) 528-3113Address: 3550 Lexington Avenue, Mohegan Lake, NY 10547County: WestchesterCountry: United StatesSingle or Primary Contact: Thomas McDonaldContact Phone: (914) 528-2000CLIA #: 33D2034477Tests: COVID-19 ANTIGEN Glucose Protime 12/28/2027 Episcopal Health Services Inc St John's Episcopal Hospital PFI: T461Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Sadaf S Sheikh, M.D.Phone: (718) 869-7332Fax: (718) 869-8555Address: 327 Beach 19th St, Far Rockaway, NY 11691County: QueensCountry: United StatesSingle or Primary Contact: Errol MckenzieContact Phone: (718) 869-7335CLIA #: 33D0654102Tests: 01/12/2028 The Joe Raso Hospice Residence PFI: T462Secondary Site ID: 0000Certification Type: WAIVERDirector: David A Chmielewski, M.D.Phone: (845) 638-0000Fax: (845) 499-2381Address: 415 Buena Vista Road, New City, NY 10956County: RocklandCountry: United StatesSingle or Primary Contact: Diane IngenitoContact Phone: (845) 638-0000CLIA #: 33D2036364Tests: 02/27/2028 New York-Presbyterian Medical Group - Westchester PFI: T463Secondary Site ID: 0000Certification Type: WAIVERDirector: Anthony L Pucillo, M.D.Phone: (914) 787-4100Fax: (914) 787-4199Address: 685 White Plains Road, Eastchester, NY 10709County: WestchesterCountry: United StatesSingle or Primary Contact: Carolina BuenoContact Phone: (914) 844-1950CLIA #: 33D0140654Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood pH Platelet Aggregation Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/05/2028 NewYork-Presbyterian Medical Group - Westchester PFI: T463Secondary Site ID: 0010Certification Type: WAIVERDirector: Anthony L Pucillo, M.D.Phone: (212) 305-5201Fax: (844) 345-0514Address: 51 W 51st St - Suite 375, New York, NY 10019County: New YorkCountry: United StatesSingle or Primary Contact: Carolina BuenoContact Phone: (914) 337-1610CLIA #: 33D0140654Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood pH Platelet Aggregation Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/05/2028 NewYork-Presbyterian Medical Group - Westchester PFI: T463Secondary Site ID: 0001Certification Type: WAIVERDirector: Anthony L Pucillo, M.D.Phone: (914) 668-5944Fax: (914) 668-5978Address: 540 Gramatan Ave, Mount Vernon, NY 10522County: WestchesterCountry: United StatesSingle or Primary Contact: Carolina BuenoContact Phone: (914) 337-1610CLIA #: 33D0140654Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood pH Platelet Aggregation Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/05/2028 NewYork-Presbyterian Medical Group - Westchester PFI: T463Secondary Site ID: 0006Certification Type: WAIVERDirector: Anthony L Pucillo, M.D.Phone: (914) 793-1500Fax: Address: 77 Pondfield Road, Bronxville, NY 10708County: WestchesterCountry: United StatesSingle or Primary Contact: Carolina BuenoContact Phone: (914) 337-1610CLIA #: 33D0140654Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood pH Platelet Aggregation Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/05/2028 New York Presbyterian Medical Group Westchester PFI: T463Secondary Site ID: 0020Certification Type: WAIVERDirector: Anthony L Pucillo, M.D.Phone: (718) 409-5454Fax: (718) 409-0857Address: 2510 Westchester Ave - Stes 106+200, Bronx, NY 10461County: WestchesterCountry: United StatesSingle or Primary Contact: Carolina BuenoContact Phone: (914) 337-1610CLIA #: 33D0140654Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood pH Platelet Aggregation Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/05/2028 140 Lockwood PFI: T463Secondary Site ID: 0019Certification Type: WAIVERDirector: Anthony L Pucillo, M.D.Phone: (914) 235-6900Fax: (914) 235-7900Address: 140 Lockwood Ave - Suite 216, New Rochelle, NY 10801County: WestchesterCountry: United StatesSingle or Primary Contact: Carolina BuenoContact Phone: (914) 337-1610CLIA #: 33D0140654Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood pH Platelet Aggregation Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 01/05/2028