Dutchess Ambulatory Surgical Center
PFI: M864
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Naixi Li, M.D.
Phone: (845) 473-6144
Fax: (845) 473-5601
Address: 325 Founders Way, Poughkeepsie, NY 12603
County: Dutchess
Country: United States
Single or Primary Contact: Kathleen Hickman
Contact Phone: (845) 473-6144
CLIA #: 33D0968801
Tests:
COVID-19 ANTIGEN Glucose Pregnancy Test (Urine) COVID-19 MOLECULAR
10/06/2025
Kenton Family Care
PFI: M887
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Nadia Polataiko, M.D.
Phone: (716) 447-6450
Fax: (716) 447-6486
Address: 2625 Delaware Ave - Suite 124, Buffalo, NY 14216
County: Erie
Country: United States
Single or Primary Contact: Eileen Joyce
Contact Phone: (716) 447-6450
CLIA #: 33D0873021
Tests:
Glucose Pregnancy Test (Urine) Strep A Test Urinalysis
03/22/2027
Fairport Baptist Homes
PFI: M888
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Yehuda L Nussbaum, D.O.
Phone: (585) 377-0350
Fax: (585) 377-2620
Address: 4646 Nine Mile Point Rd, Fairport, NY 14450
County: Monroe
Country: United States
Single or Primary Contact: Debra Lester
Contact Phone: (585) 388-2337
CLIA #: 33D0171847
Tests:
COVID-19 ANTIGEN Glucose Occult Blood COVID-19 MOLECULAR
10/06/2025
Taconic Rehabilitation and Nursing at Hopewell
PFI: M889
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Josmi Joseph, M.D.
Phone: (845) 896-1500
Fax: (845) 762-0003
Address: 3 Summit Court, Fishkill, NY 12524
County: Dutchess
Country: United States
Single or Primary Contact: Christina Bushey-Darrer
Contact Phone: (845) 896-1500
CLIA #: 33D0903188
Tests:
COVID-19 ANTIGEN Glucose Occult Blood Urinalysis
05/19/2026
Autumn View Health Care Facility
PFI: M891
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Justin M Green, M.D.
Phone: (716) 648-2450
Fax: (716) 648-2029
Address: 4650 Southwestern Blvd, Hamburg, NY 14075
County: Erie
Country: United States
Single or Primary Contact: Michelle Kraus
Contact Phone: (716) 648-2450
CLIA #: 33D0654735
Tests:
COVID-19 ANTIGEN Glucose Hemoglobin Protime Urinalysis
02/17/2027
Elcor Nursing and Rehabilitation Center
PFI: M892
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Stanley B Clifton, M.D.
Phone: (607) 739-3654
Fax: (607) 796-0540
Address: 48 Colonial Dr, Horseheads, NY 14845
County: Chemung
Country: United States
Single or Primary Contact: Harlie D Clark
Contact Phone: (607) 739-3654
CLIA #: 33D0667680
Tests:
COVID-19 ANTIGEN Glucose Occult Blood
10/06/2025
Bethany Village Primary Care Network
PFI: M893
Secondary Site ID: 0001
Certification Type: WAIVER
Director: Rodrigo T Samodal, M.D.
Phone: (607) 378-6662
Fax: (607) 378-6668
Address: 3005 Watkins Rd, Horseheads, NY 14845
County: Chemung
Country: United States
Single or Primary Contact: Toni Johnston
Contact Phone: (607) 378-6574
CLIA #: 33D0675123
Tests:
COVID-19 ANTIGEN Community Screening Glucose Influenza Occult Blood Protime Strep A Test
03/01/2026
Bethany Nursing Home and HRF Inc
PFI: M893
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Rodrigo T Samodal, M.D.
Phone: (607) 739-8711
Fax: (607) 796-2821
Address: 3005 Watkins Rd, Horseheads, NY 14845
County: Chemung
Country: United States
Single or Primary Contact: Toni Johnston
Contact Phone: (607) 378-6565
CLIA #: 33D0675123
Tests:
COVID-19 ANTIGEN Community Screening Glucose Influenza Occult Blood Protime Strep A Test
03/01/2026
Fiddlers Green Manor Nursing Home
PFI: M895
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Andrew J Landis, M.D.
Phone: (716) 592-4781
Fax: (716) 592-2249
Address: 168 West Main St, Springville, NY 14141
County: Erie
Country: United States
Single or Primary Contact: Courtney Fasolino
Contact Phone: (716) 592-4781
CLIA #: 33D0880319
Tests:
COVID-19 ANTIGEN Glucose Influenza Occult Blood Urinalysis
02/03/2027
Buffalo Center for Rehabilitation and Nursing
PFI: M896
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Paul E Shields, D.O.
Phone: (716) 883-6782
Fax: (716) 883-6932
Address: 1014 Delaware Ave, Buffalo, NY 14209
County: Erie
Country: United States
Single or Primary Contact: Izzy Levinson
Contact Phone: (716) 883-6782
CLIA #: 33D0170007
Tests:
05/15/2026
Throgs Neck Rehabilitation and Nursing Center
PFI: M897
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Elena L Vezza, M.D.
Phone: (718) 430-0003
Fax: (718) 430-7024
Address: 707 Throgs Neck Expressway, Bronx, NY 10465
County: Bronx
Country: United States
Single or Primary Contact: Andrea Whittingham
Contact Phone: (718) 430-0003
CLIA #: 33D0877451
Tests:
COVID-19 ANTIGEN Anion Gap Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
02/03/2027
Lynbrook Restorative Therapy and Nursing
PFI: M901
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Erik K Johnson, M.D.
Phone: (516) 634-1400
Fax: (516) 634-1406
Address: 243 Atlantic Ave, Lynbrook, NY 11563
County: Nassau
Country: United States
Single or Primary Contact: Lisa Penziner
Contact Phone: (516) 634-1400
CLIA #: 33D0668347
Tests:
09/06/2025
SUNY Brockport Student Health Center/Hazen Health Center
PFI: M904
Secondary Site ID: 0000
Certification Type: PPMP
Director: Nilsa M Martinez, M.D.
Phone: (585) 395-2414
Fax: (585) 395-2559
Address: 350 New Campus Drive, Brockport, NY 14420
County: Monroe
Country: United States
Single or Primary Contact: Karen Parker
Contact Phone: (585) 395-2414
CLIA #: 33D0677045
Tests:
COVID-19 ANTIGEN Direct Wet Mount Preps Glucose Mononucleosis Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Strep A Test Urinalysis
02/03/2027
A R E B A Casriel Inc (ACI)
PFI: M905
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Ryan Wakim, M.D.
Phone: (212) 293-3000
Fax: (646) 517-7905
Address: 589 Rockaway Ave, Brooklyn, NY 11212
County: Kings
Country: United States
Single or Primary Contact: Brad Thomas
Contact Phone: (212) 293-3000
CLIA #: 33D0918671
Tests:
COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR
07/22/2026
RegionCare Nursing Agency
PFI: M906
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Maria Carney, M.D.
Phone: (516) 414-3900
Fax: (516) 414-3989
Address: 200 Community Drive, Great Neck, NY 11021
County: Nassau
Country: United States
Single or Primary Contact: Diane Asquino
Contact Phone: (516) 414-3900
CLIA #: 33D0887887
Tests:
02/12/2026
Iroquois Nursing Home Inc
PFI: M907
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Amechi V Odife, M.D.
Phone: (315) 469-1300
Fax: (315) 469-5545
Address: 4600 Southwood Heights Dr, Jamesville, NY 13078-9595
County: Onondaga
Country: United States
Single or Primary Contact: Maggie Calli
Contact Phone: (315) 469-1300
CLIA #: 33D0861072
Tests:
COVID-19 ANTIGEN Glucose Occult Blood Protime Urinalysis
10/06/2025
Elderwood at Liverpool
PFI: M908
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Lynne Humphrey, M.D.
Phone: (315) 457-9946
Fax: (315) 457-8290
Address: 4800 Bear Rd, Liverpool, NY 13088
County: Onondaga
Country: United States
Single or Primary Contact: Cherlyn Deleonabreau
Contact Phone: (315) 457-9946
CLIA #: 33D0881572
Tests:
COVID-19 ANTIGEN Glucose Influenza Occult Blood RSV (Respiratory Syncytial Virus) Urinalysis
10/06/2025
Cypress Garden Center for Nursing and Rehabilitation
PFI: M911
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Aleem Ali, M.D.
Phone: (718) 961-5300
Fax: (718) 888-5198
Address: 139-66 35th Ave, Flushing, NY 11354-3524
County: Queens
Country: United States
Single or Primary Contact: Ezra Krieger
Contact Phone: (718) 961-5300
CLIA #: 33D0890214
Tests:
02/03/2027
James G Johnston Nursing Facility
PFI: M912
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Spencer M Eisenberg, D.O.
Phone: (607) 798-1002
Fax: (607) 770-3475
Address: 286 Deyo Hill Rd, Johnson City, NY 13790-5135
County: Broome
Country: United States
Single or Primary Contact: Jacqueline Otremba
Contact Phone: (607) 798-1002
CLIA #: 33D0669972
Tests:
COVID-19 ANTIGEN Glucose Occult Blood Urinalysis
12/17/2025
Heritage Park Rehab and Skilled Nursing
PFI: M915
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Albert J Persia, M.D.
Phone: (716) 488-1921
Fax: (716) 484-9370
Address: 150 Prather Ave, Jamestown, NY 14701
County: Chautauqua
Country: United States
Single or Primary Contact: Dan Greene
Contact Phone: (716) 484-6650
CLIA #: 33D0890057
Tests:
COVID-19 ANTIGEN Glucose Occult Blood Protime
10/06/2025