Otsego County Emergency Medical Services PFI: H373Secondary Site ID: 0000Certification Type: WAIVERDirector: Bruce A Kramer, M.D.Phone: (607) 547-1697Fax: (607) 547-7529Address: 140 County Hwy 33W, Cooperstown, NY 13326County: OtsegoCountry: United StatesSingle or Primary Contact: Angela BarnesContact Phone: (607) 267-2991CLIA #: 33D2331930Tests: 10/15/2027 Vassar Brothers Hospital Ulster Radiation Oncology Center PFI: H374Secondary Site ID: 0000Certification Type: WAIVERDirector: Philip W Gilbo, M.D.Phone: (845) 339-7700Fax: (845) 339-2316Address: 111 Mary's Ave - Suite 1, Kingston, NY 15401County: UlsterCountry: United StatesSingle or Primary Contact: Kara PinaudContact Phone: (845) 278-5641CLIA #: 33D2329463Tests: 08/29/2027 Elmira Community Health PFI: H375Secondary Site ID: 0000Certification Type: WAIVERDirector: Lewis J Cabibi, D.O.Phone: (607) 732-1310Fax: (607) 733-0940Address: 200 Madson Ave - 2nd Fl, Elmira, NY 14901County: ChemungCountry: United StatesSingle or Primary Contact: Charles KingContact Phone: (607) 732-1310CLIA #: 33D2329970Tests: COVID-19 ANTIGEN Blood Lead Drugs of Abuse Glucose Hemoglobin Influenza Microalbumin Occult Blood Pregnancy Test (Urine) Trichomonas, Rapid HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/13/2027 Midtown East Medical Services PC PFI: H376Secondary Site ID: 0000Certification Type: WAIVERDirector: Tiffany L Pulcino, M.D.Phone: (585) 694-9123Fax: Address: 15 Fishers Rd - Ste 114, Pittsford, NY 14534County: MonroeCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2329466Tests: 09/01/2027 The Dunes East Hampton Outpatient PFI: H377Secondary Site ID: 0000Certification Type: WAIVERDirector: Douglas K Hoverkamp, M.D.Phone: (631) 604-5405Fax: (631) 604-5406Address: 201 Fort Pond Blvd, East Hampton, NY 11937County: SuffolkCountry: United StatesSingle or Primary Contact: Monica LeedsContact Phone: (631) 324-3443CLIA #: 33D2329468Tests: Breath Alcohol Drugs of Abuse 08/29/2027 The Renzi Cancer Center at Guthrie Cortland Medical Center PFI: H378Secondary Site ID: 0004Certification Type: WAIVERDirector: Cristina E Aguilar, M.D.Phone: (607) 756-3130Fax: Address: 34 W Main St, Cortland, NY 13045County: CortlandCountry: United StatesSingle or Primary Contact: Marisa ZoggContact Phone: (607) 756-3623CLIA #: 33D2332628Tests: Glucose Glycosylated Hemoglobin Occult Blood pH Protime Pregnancy Test (Urine) Strep A Test Urinalysis 10/22/2027 Cortland Renzi Health Campus PFI: H378Secondary Site ID: 0000Certification Type: WAIVERDirector: Cristina E Aguilar, M.D.Phone: (607) 753-9977Fax: Address: 4057 West Rd, Cortland, NY 13045County: CortlandCountry: United StatesSingle or Primary Contact: Marisa ZoggContact Phone: (607) 753-9977CLIA #: 33D2332628Tests: Glucose Glycosylated Hemoglobin Occult Blood pH Protime Pregnancy Test (Urine) Strep A Test Urinalysis 10/22/2027 Ithaca City Harbor - Dept of GCMC PFI: H378Secondary Site ID: 0002Certification Type: WAIVERDirector: Cristina E Aguilar, M.D.Phone: (607) 219-4606Fax: Address: 720 Willow Ave, Ithaca, NY 14850County: CortlandCountry: United StatesSingle or Primary Contact: Marisa ZoggContact Phone: (607) 756-3623CLIA #: 33D2332628Tests: Glucose Glycosylated Hemoglobin Occult Blood pH Protime Pregnancy Test (Urine) Strep A Test Urinalysis 10/22/2027 Mount Sinai Wantagh Laboratory PFI: H379Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Kristin L Sticco, D.O.Phone: (516) 546-5000Fax: (516) 546-0596Address: 2020 Wantagh Ave - 4th Fl, Wantagh, NY 11793County: NassauCountry: United StatesSingle or Primary Contact: Dayanandan AdhimoolamContact Phone: (646) 276-4611CLIA #: 33D2329274Tests: Alanine Aminotransferase (ALT) Albumin Alkaline Phosphatase (ALP) Aspartate Aminotransferase (AST) Blood Urea Nitrogen (BUN) Carbon Dioxide Calcium Chloride Creatinine Glucose Potassium Protime Pregnancy Test (Urine) Sodium Total Bilirubin Total Protein Urinalysis 11/03/2027 Oneida Pediatric Group PFI: H381Secondary Site ID: 0002Certification Type: WAIVERDirector: Rezkallah Toro, M.D.Phone: (315) 339-0401Fax: (315) 339-2957Address: 117 W Liberty St - Ste 1, Rome, NY 13440County: OneidaCountry: United StatesSingle or Primary Contact: Erica DouglassContact Phone: 31536120201828CLIA #: 33D2329471Tests: COVID-19 ANTIGEN Blood Lead Glucose Hemoglobin Hematocrit Influenza Mononucleosis Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/01/2027 Oneida Pediatric Group PFI: H381Secondary Site ID: 0000Certification Type: WAIVERDirector: Rezkallah Toro, M.D.Phone: (315) 363-2350Fax: (315) 361-1827Address: 421 Main St, Oneida, NY 13421County: MadisonCountry: United StatesSingle or Primary Contact: Erica DouglassContact Phone: (315) 361-2020CLIA #: 33D2329471Tests: COVID-19 ANTIGEN Blood Lead Glucose Hemoglobin Hematocrit Influenza Mononucleosis Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/01/2027 Oneida Pediatric Group PFI: H381Secondary Site ID: 0001Certification Type: WAIVERDirector: Rezkallah Toro, M.D.Phone: (315) 245-5483Fax: (315) 245-5482Address: 90 Taberg St, Camden, NY 13316County: OneidaCountry: United StatesSingle or Primary Contact: Erica DouglassContact Phone: 31536120201828CLIA #: 33D2329471Tests: COVID-19 ANTIGEN Blood Lead Glucose Hemoglobin Hematocrit Influenza Mononucleosis Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/01/2027 Star Lake Volunteer Fire Department Inc PFI: H382Secondary Site ID: 0000Certification Type: WAIVERDirector: Sarah A Delaney-Rowland, M.D.Phone: (315) 848-3621Fax: (315) 848-2520Address: 4187 State Hwy 3, Star Lake, NY 13690County: St. LawrenceCountry: United StatesSingle or Primary Contact: Lynne BackusContact Phone: (315) 848-5662CLIA #: 33D2330366Tests: 10/15/2027 New Hartford Fire Department PFI: H383Secondary Site ID: 0000Certification Type: WAIVERDirector: John Rubin, D.O.Phone: (315) 732-1710Fax: (315) 732-7738Address: 4 Oxford Rd, New Hartford, NY 13413County: OneidaCountry: United StatesSingle or Primary Contact: Jim MonahanContact Phone: (315) 368-8252CLIA #: 33D2331931Tests: 10/15/2027 Family First NP in Family Health PC PFI: H384Secondary Site ID: 0000Certification Type: WAIVERDirector: Omolara A Olaniyi, Ph.D., N.P.Phone: (347) 356-4434Fax: Address: 1805 Randall Ave - Front Store, Bronx, NY 10473County: BronxCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2332631Tests: COVID-19 ANTIGEN Glucose Helicobacter Pylori Influenza Pregnancy Test (Urine) COVID-19 ANTIBODY Strep A Test Urinalysis 10/22/2027 Utica Fire Department Station 3 PFI: H385Secondary Site ID: 0003Certification Type: WAIVERDirector: Anthony J Klimek, M.D.Phone: (315) 731-2003Fax: (315) 731-2029Address: 1501 Mohawk St, Utica, NY 13501County: OneidaCountry: United StatesSingle or Primary Contact: Adrian IrizarryContact Phone: (315) 534-6664CLIA #: 33D2329881Tests: 09/17/2027 Utica Fire Department Station 4 PFI: H385Secondary Site ID: 0004Certification Type: WAIVERDirector: Anthony J Klimek, M.D.Phone: (315) 731-2009Fax: (315) 731-2029Address: 29 Shepard Pl, Utica, NY 13502County: OneidaCountry: United StatesSingle or Primary Contact: Adrian IrizarryContact Phone: (315) 534-6664CLIA #: 33D2329881Tests: 09/17/2027 Utica Fire Department Station 2 PFI: H385Secondary Site ID: 0002Certification Type: WAIVERDirector: Anthony J Klimek, M.D.Phone: (315) 731-2002Fax: (315) 731-2029Address: 552 Bleecker St, Utica, NY 13501County: OneidaCountry: United StatesSingle or Primary Contact: Adrian IrizarryContact Phone: (315) 534-6664CLIA #: 33D2329881Tests: 09/17/2027 Utica Fire Department Station 1 PFI: H385Secondary Site ID: 0001Certification Type: WAIVERDirector: Anthony J Klimek, M.D.Phone: (315) 731-2001Fax: (315) 731-2029Address: 1522 Whitesboro St, Utica, NY 13502County: OneidaCountry: United StatesSingle or Primary Contact: Adrian IrizarryContact Phone: (315) 534-6664CLIA #: 33D2329881Tests: 09/17/2027 Utica Fire Department Station 5 PFI: H385Secondary Site ID: 0005Certification Type: WAIVERDirector: Anthony J Klimek, M.D.Phone: (315) 731-2005Fax: (315) 731-2029Address: 419 Van Rensselaer Rd, Utica, NY 13502County: OneidaCountry: United StatesSingle or Primary Contact: Adrian IrizarryContact Phone: (315) 534-6664CLIA #: 33D2329881Tests: 09/17/2027