Community Care Elite Services LLC PFI: E278Secondary Site ID: 0000Certification Type: WAIVERDirector: Bridgett Burroughs, N.P.Phone: (516) 960-8629Fax: (516) 280-3121Address: 535 S Franklin St, Hempstead, NY 11550County: NassauCountry: United StatesSingle or Primary Contact: Bridgett BurroughsContact Phone: (516) 960-8629CLIA #: 33D2230128Tests: Aerobic/Anaerobic Organisms-Vaginal COVID-19 ANTIGEN Albumin Amylase Bacterial Vaginosis, Rapid Blood Urea Nitrogen (BUN) B-Type Natriuretic Peptide (BNP) Calcium Cholesterol Community Screening Creatinine Creatine Kinase (CK) Drugs of Abuse Glucose HDL Cholesterol Hemoglobin Hematocrit Helicobacter Pylori Influenza Ketones LDL Cholesterol Phosphorous pH Platelet Aggregation Potassium Pregnancy Test (Urine) Trichomonas, Rapid COVID-19 MOLECULAR HIV, Rapid Strep A Test Thyroid Stimulating Hormone (TSH) Total Protein Triglycerides Urinalysis 09/21/2027 Modern Physician Services PC PFI: E291Secondary Site ID: 0000Certification Type: WAIVERDirector: Matthew Chan, P.A.Phone: (646) 593-8773Fax: (927) 979-6914Address: 67-21 Fresh Pond Rd, Ridgewood, NY 11385County: QueensCountry: United StatesSingle or Primary Contact: Joseph PassananteContact Phone: (312) 590-0936CLIA #: 33D2234218Tests: COVID-19 ANTIGEN Alanine Aminotransferase (ALT) Albumin Alkaline Phosphatase (ALP) Amylase Aspartate Aminotransferase (AST) Blood Urea Nitrogen (BUN) Carbon Dioxide Calcium Chloride Cholesterol Community Screening Creatinine Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Glycosylated Hemoglobin HDL Cholesterol Hemoglobin Hematocrit Helicobacter Pylori Influenza Ketones LDL Cholesterol Microalbumin Mononucleosis Nicotine Potassium Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Sodium Strep A Test Thyroid Stimulating Hormone (TSH) Triglycerides Urinalysis 09/16/2027 Modern Physician Services PC PFI: E292Secondary Site ID: 0000Certification Type: WAIVERDirector: Matthew Chan, P.A.Phone: (929) 468-9930Fax: (927) 979-6914Address: 103-42 Lefferts Blvd, Richmond Hill, NY 11419County: QueensCountry: United StatesSingle or Primary Contact: Joseph PassananteContact Phone: (312) 590-0936CLIA #: 33D2234219Tests: COVID-19 ANTIGEN Alanine Aminotransferase (ALT) Albumin Alkaline Phosphatase (ALP) Amylase Aspartate Aminotransferase (AST) Blood Urea Nitrogen (BUN) Carbon Dioxide Calcium Chloride Cholesterol Community Screening Creatinine Drugs of Abuse Erythrocyte Sedimentation Rate (ESR) Glucose Glycosylated Hemoglobin HDL Cholesterol Hemoglobin Hematocrit Helicobacter Pylori Influenza Ketones LDL Cholesterol Microalbumin Mononucleosis Nicotine Potassium Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Sodium Strep A Test Thyroid Stimulating Hormone (TSH) Triglycerides Urinalysis 09/23/2027 Amity Rescue Squad, Inc. PFI: E293Secondary Site ID: 0000Certification Type: WAIVERDirector: Aaron N Farney, M.D.Phone: (585) 268-8088Fax: (585) 268-7648Address: 5184 State Rte 244, Belmont, NY 14813County: AlleganyCountry: United StatesSingle or Primary Contact: James FranklinContact Phone: (585) 808-0144CLIA #: 33D2234612Tests: 09/20/2027 Borealis Dermatology PFI: E294Secondary Site ID: 0000Certification Type: WAIVERDirector: Navin S Arora, D.O.Phone: (516) 246-8800Fax: (516) 559-4617Address: 400 Garden City Plaza - Suite 111, Garden City, NY 11530County: NassauCountry: United StatesSingle or Primary Contact: Marie SandlerContact Phone: (516) 246-8800CLIA #: 33D2234606Tests: Pregnancy Test (Urine) Urinalysis 09/08/2027 Care365 LLC PFI: E295Secondary Site ID: 0000Certification Type: WAIVERDirector: Seth D Kurtz, M.D.Phone: (845) 371-7200Fax: (845) 371-5800Address: 1 Main St, Monsey, NY 10952County: RocklandCountry: United StatesSingle or Primary Contact: Mendel DrummerContact Phone: (845) 888-7200CLIA #: 33D2256454Tests: COVID-19 ANTIGEN Blood Lead Community Screening Glucose Hemoglobin Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 03/24/2028 Mount Sinai Doctors Midwood PFI: E297Secondary Site ID: 0000Certification Type: WAIVERDirector: Diana Kantor, M.D.Phone: (718) 758-7022Fax: (718) 677-4279Address: 3131 Kings Hwy - Suite 305, Brooklyn, NY 11234County: KingsCountry: United StatesSingle or Primary Contact: Joi FontaineContact Phone: (646) 627-6568CLIA #: 33D2241446Tests: Community Screening Glucose Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis 10/28/2027 Mount Sinai Doctors Brooklyn Cardiology PFI: E298Secondary Site ID: 0000Certification Type: WAIVERDirector: Barry L Huppert, M.D.Phone: (718) 758-7070Fax: (718) 758-7071Address: 1977 Flatbush Ave, Brooklyn, NY 11234County: KingsCountry: United StatesSingle or Primary Contact: Khadsha McKainContact Phone: (332) 237-8027CLIA #: 33D2241442Tests: Glucose Pregnancy Test (Urine) Urinalysis 10/28/2027 CRSSNY - OBS PFI: E299Secondary Site ID: 0000Certification Type: WAIVERDirector: Frank J Caliendo, M.D.Phone: (516) 248-2422Fax: (516) 248-5162Address: 1100 Franklin Ave, Graden City, NY 11530County: NassauCountry: United StatesSingle or Primary Contact: Janet MaciContact Phone: (516) 248-2422CLIA #: 33D2232847Tests: Glucose Pregnancy Test (Urine) 10/28/2027 CRSSNY - Melville OBS PFI: E299Secondary Site ID: 0001Certification Type: WAIVERDirector: Frank J Caliendo, M.D.Phone: (516) 248-2422Fax: (516) 248-5162Address: 510 Broadhollow Rd - Suite 307, Melville, NY 11747County: SuffolkCountry: United StatesSingle or Primary Contact: Janet MaciContact Phone: (516) 248-2422CLIA #: 33D2232847Tests: Glucose Pregnancy Test (Urine) 10/28/2027 Nathan Littauer Primary Care Center at Amsterdam PFI: E301Secondary Site ID: 0000Certification Type: WAIVERDirector: Charles F Schwartz, D.O.Phone: (518) 212-6090Fax: (518) 212-6108Address: 375 Golf Course Rd, Amsterdam, NY 12010County: MontgomeryCountry: United StatesSingle or Primary Contact: Ronald FortesContact Phone: (518) 773-5467CLIA #: 33D2237777Tests: Glucose Glycosylated Hemoglobin Pregnancy Test (Urine) Strep A Test Urinalysis 10/13/2027 Nephrology Associates of WNY PFI: E303Secondary Site ID: 0000Certification Type: WAIVERDirector: Kristin A Matteson, D.O.Phone: (716) 712-0864Fax: (716) 712-0869Address: 220 Redtail - Suite 2, Orchard Park, NY 14127County: ErieCountry: United StatesSingle or Primary Contact: Dawn CoburnContact Phone: (716) 206-1568CLIA #: 33D2234221Tests: 09/08/2027 St Ann's Nursing Home Inc PFI: E305Secondary Site ID: 0000Certification Type: WAIVERDirector: Kim Petrone, M.D.Phone: (585) 697-6800Fax: (585) 342-9166Address: 920 Cherry Ridge Blvd, Webster, NY 14580County: MonroeCountry: United StatesSingle or Primary Contact: Eve ScofieldContact Phone: (585) 697-6411CLIA #: 33D2234184Tests: COVID-19 ANTIGEN Glucose Influenza Occult Blood Protime RSV (Respiratory Syncytial Virus) Strep A Test 09/08/2027 Catholic Health Physician Partners at Oakdale PFI: E312Secondary Site ID: 0000Certification Type: WAIVERDirector: Nancy Uythoven, M.D.Phone: (631) 228-5525Fax: (631) 390-1841Address: 1223 Montauk Hwy, Oakdale, NY 11769County: SuffolkCountry: United StatesSingle or Primary Contact: Denise DePaolaContact Phone: (631) 875-4156CLIA #: 33D2236687Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 02/02/2028 Riverview Professional Pharmacy PFI: E316Secondary Site ID: 0000Certification Type: WAIVERDirector: Phil Occhino, Pharm.D.Phone: (716) 423-2313Fax: (716) 423-2329Address: 3920 Main St - Ste 150, Amherst, NY 14226County: ErieCountry: United StatesSingle or Primary Contact: Phil OcchinoContact Phone: (716) 423-2313CLIA #: 33D2185416Tests: COVID-19 ANTIGEN Community Screening 09/21/2027 Arlington Pharmacy Inc dba K+K Pharmacy PFI: E319Secondary Site ID: 0000Certification Type: WAIVERDirector: Renee Hook, N.P.Phone: (845) 292-3430Fax: (845) 292-3437Address: 187 Mill St, Liberty, NY 12754County: SullivanCountry: United StatesSingle or Primary Contact: Samir ShahContact Phone: (845) 292-3430CLIA #: 33D2236725Tests: COVID-19 ANTIGEN Community Screening Influenza COVID-19 MOLECULAR Strep A Test 09/21/2027 Walgreens No. 17643 PFI: E320Secondary Site ID: 0000Certification Type: WAIVERDirector: Zeiad A Fakhouri, M.D.Phone: (315) 682-9153Fax: (315) 682-1023Address: 8230 Cazenovia Rd, Manlius, NY 13104County: OnondagaCountry: United StatesSingle or Primary Contact: Daniel RodriguezContact Phone: (847) 282-2589CLIA #: 33D2237036Tests: COVID-19 ANTIGEN Community Screening Influenza COVID-19 MOLECULAR 09/22/2027 Walgreens No. 13961 PFI: E321Secondary Site ID: 0000Certification Type: WAIVERDirector: Zeiad A Fakhouri, M.D.Phone: (516) 739-2408Fax: (516) 739-1659Address: 12 E Jericho Tpke, Mineola, NY 11501County: NassauCountry: United StatesSingle or Primary Contact: Daniel RodriguezContact Phone: (847) 282-2589CLIA #: 33D2237041Tests: COVID-19 ANTIGEN Community Screening Influenza COVID-19 MOLECULAR 09/22/2027 Walgreens No. 10750 PFI: E322Secondary Site ID: 0000Certification Type: WAIVERDirector: Zeiad A Fakhouri, M.D.Phone: (315) 699-0812Fax: (315) 699-0818Address: 6189 State Rte 31, Cicero, NY 13039County: OnondagaCountry: United StatesSingle or Primary Contact: Daniel RodriguezContact Phone: (847) 282-2589CLIA #: 33D2237043Tests: COVID-19 ANTIGEN Community Screening Influenza COVID-19 MOLECULAR 09/22/2027 Cardiac Electrophysiology Consultants LLC PFI: E331Secondary Site ID: 0000Certification Type: WAIVERDirector: Jamal J Ahmed, M.D.Phone: (315) 277-2707Fax: (315) 750-3044Address: 6700 Kirkville Rd - Suite 203, East Syracuse, NY 13057County: OnondagaCountry: United StatesSingle or Primary Contact: Jennifer PrecourtContact Phone: (315) 277-2707CLIA #: 33D2237610Tests: COVID-19 ANTIGEN Community Screening Influenza 10/13/2027