BCHP Division of Four Seasons Pediatrics PFI: H274Secondary Site ID: 0000Certification Type: WAIVERDirector: Kimberly K Elmer, M.D.Phone: (518) 383-2425Fax: (518) 383-3255Address: 532 Moe Rd, Clifton Park, NY 12065County: SaratogaCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D0984698Tests: COVID-19 ANTIGEN Blood Lead Glucose Glycosylated Hemoglobin HDL Cholesterol Hemoglobin LDL Cholesterol Mononucleosis Occult Blood COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 07/01/2027 Mount Sinai Doctors Wantagh PFI: H275Secondary Site ID: 0000Certification Type: WAIVERDirector: Joshua N. Kugler, M.D.Phone: (347) 931-3750Fax: Address: 2020 Wantagh Ave, Wantagh, NY 11793County: NassauCountry: United StatesSingle or Primary Contact: Tinika HenryContact Phone: (347) 931-3750CLIA #: 33D2327006Tests: Creatinine Glucose Glycosylated Hemoglobin Pregnancy Test (Urine) Urinalysis 07/23/2027 White Plains Kensington LLC PFI: H276Secondary Site ID: 0000Certification Type: WAIVERDirector: Shashishekhar S Palekar, M.D.Phone: (914) 390-0080Fax: (914) 390-0277Address: 100 Maple Ave, White Plains, NY 10601County: WestchesterCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2324802Tests: 06/02/2027 City of Plattsburgh Fire Department PFI: H277Secondary Site ID: 0000Certification Type: WAIVERDirector: Tiffany Bombard, M.D.Phone: (518) 561-3780Fax: Address: 65 Cornelia St, Plattsburgh, NY 12901County: ClintonCountry: United StatesSingle or Primary Contact: Scott LawlissContact Phone: (518) 561-3780CLIA #: 33D2324526Tests: 06/02/2027 SUNY Research Foundation PFI: H278Secondary Site ID: 0000Certification Type: WAIVERDirector: William W Blymire, M.D.Phone: (716) 829-6748Fax: Address: 3435 Main St, Buffalo, NY 14214County: ErieCountry: United StatesSingle or Primary Contact: Dr. Jessica KrugerContact Phone: (716) 829-6748CLIA #: 33D2326803Tests: Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Hemoglobin LDL Cholesterol 07/14/2027 Ezra Medical Women's and Family Health Center PFI: H279Secondary Site ID: 0000Certification Type: WAIVERDirector: Thomas Fuchs, M.D.Phone: (718) 686-7600Fax: (718) 686-2098Address: 1260-78 60th St, Brooklyn, NY 11219County: KingsCountry: United StatesSingle or Primary Contact: Mirium BerkovitzContact Phone: (718) 686-7600CLIA #: 33D2324775Tests: COVID-19 ANTIGEN Blood Lead Community Screening Glucose Glycosylated Hemoglobin Hemoglobin Influenza Microalbumin Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 06/15/2027 GAMMS LLC dba Zelcare Family Health Network PFI: H280Secondary Site ID: 0000Certification Type: WAIVERDirector: Jonathan Gamss, M.D.Phone: (845) 782-0000Fax: (866) 984-3767Address: 3 Hamaspik Way - Suite 011, Monroe, NY 10950County: OrangeCountry: United StatesSingle or Primary Contact: Jonathan GamssContact Phone: (845) 782-0000CLIA #: 33D2324977Tests: COVID-19 ANTIGEN Glucose Hemoglobin Helicobacter Pylori Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis 06/30/2027 West Corners Fire District PFI: H281Secondary Site ID: 0000Certification Type: WAIVERDirector: Martin C. Masarech, M.D.Phone: (607) 785-4185Fax: Address: 500 Day Hollow Rd, Endicott, NY 13760County: BroomeCountry: United StatesSingle or Primary Contact: Kyle RogersContact Phone: (607) 348-8690CLIA #: 33D2324981Tests: 06/15/2027 ALEF Health Center LLC PFI: H282Secondary Site ID: 0000Certification Type: WAIVERDirector: Abdalla I Adam, M.D.Phone: (212) 998-1662Fax: (212) 998-1663Address: 3777 Richmond Ave - Level B, Staten Island, NY 10312County: RichmondCountry: United StatesSingle or Primary Contact: Anne GershkowskiContact Phone: (212) 998-1662CLIA #: 33D2324980Tests: Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test 06/04/2027 737 Park Ave Surgical Suites LLC PFI: H283Secondary Site ID: 0000Certification Type: WAIVERDirector: Marc Zimbler, M.D.Phone: (212) 772-8504Fax: (917) 591-1312Address: 737 Park Ave - Suite 1B, New York, NY 10021County: New YorkCountry: United StatesSingle or Primary Contact: Kimberly MaffeiContact Phone: (212) 772-8504CLIA #: 33D2324984Tests: 06/04/2027 JM Care Services LLC dba Meridian Surgery Center PFI: H284Secondary Site ID: 0000Certification Type: WAIVERDirector: Moustafa W Mourad, M.D.Phone: (212) 972-7011Fax: Address: 59-25 Kissena Blvd - 1st Fl Ste 100, Flushing, NY 11355County: QueensCountry: United StatesSingle or Primary Contact: Jennifer HoadleyContact Phone: (646) 703-1608CLIA #: 33D2326804Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Hemoglobin Ketones Pregnancy Test (Urine) 07/14/2027 BV Port Jefferson Operator LLC PFI: H285Secondary Site ID: 0000Certification Type: WAIVERDirector: Azmat A Iqbal, M.D.Phone: (631) 802-5021Fax: (631) 802-5022Address: 1175 Rte 112, Port Jefferson Sta, NY 11776County: SuffolkCountry: United StatesSingle or Primary Contact: Megan SheehanContact Phone: (631) 802-5021CLIA #: 33D2325036Tests: 06/25/2027 Poulin Optometric Eyecare PLLC PFI: H286Secondary Site ID: 0000Certification Type: WAIVERDirector: Edgar U Ekure, O.D.Phone: (315) 245-2443Fax: (315) 245-1060Address: 94 Main St, Camden, NY 13316County: OneidaCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2326806Tests: 07/14/2027 Congregation Tal Leyisroel dba Camp Tal PFI: H287Secondary Site ID: 0000Certification Type: WAIVERDirector: Ruth M Ifrah, N.P.Phone: (484) 477-2170Fax: Address: 150 Ingalside Rd, Greenville, NY 12083County: GreeneCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2326131Tests: 07/02/2027 Bethel Woods Center For The Arts Inc PFI: H289Secondary Site ID: 0000Certification Type: WAIVERDirector: Pamela J Murphy, M.D.Phone: (845) 583-2065Fax: Address: 200 Hurd Rd, Bethel, NY 12720County: SullivanCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2326807Tests: 07/14/2027 Brookdale Ithaca Assisted Living PFI: H290Secondary Site ID: 0000Certification Type: WAIVERDirector: Kim L Trahan, P.A.Phone: (607) 256-2580Fax: (607) 256-2446Address: 103C Bundy Rd, Ithaca, NY 14850County: TompkinsCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2326808Tests: 07/14/2027 Crittenden Volunteer Fire Department PFI: H291Secondary Site ID: 0000Certification Type: WAIVERDirector: Joshua J Lynch, D.O.Phone: (716) 937-9166Fax: Address: 13415 Genesee St, Alden, NY 14004County: ErieCountry: United StatesSingle or Primary Contact: Kristen TowerContact Phone: (716) 713-1430CLIA #: 33D2325900Tests: Community Screening Glucose 06/25/2027 Daniel Miller DO PLLC PFI: H292Secondary Site ID: 0000Certification Type: WAIVERDirector: Daniel Miller, D.O.Phone: (347) 369-4552Fax: (587) 206-4229Address: 14128 70th Rd, Flushing, NY 11367County: QueensCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2326043Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Strep A Test Urinalysis 06/25/2027 Geneva Medical Campus Infusion PFI: H293Secondary Site ID: 0000Certification Type: WAIVERDirector: Leah Militello, M.D.Phone: (315) 210-1330Fax: Address: 833 Canandaigua Rd, Geneva, NY 14456County: OntarioCountry: United StatesSingle or Primary Contact: Dawn SlossarContact Phone: (585) 922-4977CLIA #: 33D2326809Tests: 07/14/2027 WB Homecare Adult and Family Health NP PLLC PFI: H295Secondary Site ID: 0000Certification Type: WAIVERDirector: Bineta Diop, N.P.Phone: (201) 641-2125Fax: (212) 888-6024Address: 317 Maple Ave, Uniondale, NY 11553County: QueensCountry: United StatesSingle or Primary Contact: Rose VelasquezContact Phone: (201) 641-2125CLIA #: 33D2327364Tests: COVID-19 ANTIGEN Cholesterol Community Screening Glucose Influenza COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) COVID-19 ANTIBODY Strep A Test Urinalysis 07/23/2027