Project Hospitality PFI: R286Secondary Site ID: 0001Certification Type: WAIVERDirector: Emmanuel Ahipue, N.P.Phone: (718) 273-8409Fax: Address: 14 Slosson Terrace, Staten Island, NY 10301County: RichmondCountry: United StatesSingle or Primary Contact: Gale AlwillContact Phone: (718) 448-1544CLIA #: 33D1046906Tests: Drugs of Abuse Glucose Pregnancy Test (Urine) HCV, Rapid HIV, Rapid 06/09/2027 Project Hospitality PFI: R286Secondary Site ID: 0002Certification Type: WAIVERDirector: Emmanuel Ahipue, N.P.Phone: (718) 447-3293Fax: Address: 75 Vanderbilt Avenue, Staten Island, NY 10310County: RichmondCountry: United StatesSingle or Primary Contact: Gale AlwillContact Phone: (718) 448-1544CLIA #: 33D1046906Tests: Drugs of Abuse Glucose Pregnancy Test (Urine) HCV, Rapid HIV, Rapid 06/09/2027 Highland Care Center Inc PFI: R287Secondary Site ID: 0000Certification Type: WAIVERDirector: Peyman E Younesi, M.D.Phone: (718) 657-6363Fax: (718) 577-4254Address: 91-31 175th St, Jamaica, NY 11432County: QueensCountry: United StatesSingle or Primary Contact: Andrea GibbonContact Phone: (718) 657-6363CLIA #: 33D1046908Tests: Glucose COVID-19 MOLECULAR 10/24/2027 Smithtown ASC LLC PFI: R291Secondary Site ID: 0000Certification Type: WAIVERDirector: Forohar Farzad, M.D.Phone: (631) 724-5300Fax: Address: 61 Southern Blvd, Nesconset, NY 11767County: SuffolkCountry: United StatesSingle or Primary Contact: Tatiana ShestakovaContact Phone: (917) 834-8825CLIA #: 33D2344548Tests: Glucose Pregnancy Test (Urine) 06/20/2028 Geneva General Hospital Finger Lakes Surgery Center PFI: R293Secondary Site ID: 0000Certification Type: WAIVERDirector: William H. Dean, Jr., M.D.Phone: (315) 230-5505Fax: (315) 230-5534Address: 3700 County Road 6, Geneva, NY 14456County: OntarioCountry: United StatesSingle or Primary Contact: Amber CastnerContact Phone: (315) 787-4362CLIA #: 33D1045387Tests: Glucose Pregnancy Test (Urine) 09/14/2027 ACQC Woodside Satellite PFI: R295Secondary Site ID: 0001Certification Type: WAIVERDirector: Nonglin Mel, M.D.Phone: (718) 472-9400Fax: (718) 459-6578Address: 62-07 Woodside Ave - Suite 3, Woodside, NY 11377County: QueensCountry: United StatesSingle or Primary Contact: Rosemary LopezContact Phone: 71847294005754CLIA #: 33D1047725Tests: Community Screening HCV, Rapid HIV, Rapid Syphilis Antibodies 11/14/2027 AIDS Center of Queens County (ACQC) PFI: R295Secondary Site ID: 0000Certification Type: WAIVERDirector: Nonglin Mel, M.D.Phone: (718) 896-2500Fax: (718) 275-2094Address: 161-21 Jamaica Ave - 7th Floor, Jamaica, NY 11432County: QueensCountry: United StatesSingle or Primary Contact: Rosemary LopezContact Phone: (718) 896-2500CLIA #: 33D1047725Tests: Community Screening HCV, Rapid HIV, Rapid Syphilis Antibodies 11/14/2027 Crown Heights FHS PFI: R302Secondary Site ID: 0008Certification Type: WAIVERDirector: Faisal M Huq Ronny, M.D., Ph.D.Phone: (646) 615-9950Fax: (646) 615-9970Address: 1218 Prospect Place, Brooklyn, NY 11213County: KingsCountry: United StatesSingle or Primary Contact: Tshering SherpaContact Phone: (443) 373-3591CLIA #: 33D0007388Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/05/2027 Brownsville Family Health Services PFI: R302Secondary Site ID: 0010Certification Type: WAIVERDirector: Faisal M Huq Ronny, M.D., Ph.D.Phone: (646) 615-9802Fax: (646) 615-9825Address: 259 Bristol Street, Brooklyn, NY 11212County: KingsCountry: United StatesSingle or Primary Contact: Tshering SherpaContact Phone: (443) 373-3591CLIA #: 33D0007388Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/05/2027 Roosevelt Community Health Center of Excellence PFI: R302Secondary Site ID: 0017Certification Type: WAIVERDirector: Faisal M Huq Ronny, M.D., Ph.D.Phone: (718) 240-0523Fax: Address: 37-50 72nd St, Jackson Heights, NY 11372County: QueensCountry: United StatesSingle or Primary Contact: Tshering SherpaContact Phone: (443) 373-3591CLIA #: 33D0007388Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/05/2027 Broadway Community Health Center Of Excellence PFI: R302Secondary Site ID: 0038Certification Type: WAIVERDirector: Faisal M Huq Ronny, M.D., Ph.D.Phone: (917) 843-7844Fax: Address: 815 Broadway, Brooklyn, NY 11206County: KingsCountry: United StatesSingle or Primary Contact: Tshering SherpaContact Phone: (443) 373-3591CLIA #: 33D0007388Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/05/2027 NYC HHC Street Health Outreach and Wellness Program PFI: R302Secondary Site ID: 0043Certification Type: WAIVERDirector: Faisal M Huq Ronny, M.D., Ph.D.Phone: (646) 830-0635Fax: Address: 35 W 35th St - 4th Floor, New York, NY 10001County: New YorkCountry: United StatesSingle or Primary Contact: Tshering SherpaContact Phone: (646) 830-0635CLIA #: 33D0007388Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/05/2027 East New York Diagnostic and Treatment Center PFI: R302Secondary Site ID: 0000Certification Type: WAIVERDirector: Faisal M Huq Ronny, M.D., Ph.D.Phone: (718) 240-0516Fax: (718) 240-0564Address: 2094 Pitkin Avenue, Brooklyn, NY 11207County: KingsCountry: United StatesSingle or Primary Contact: Tshering SherpaContact Phone: (443) 373-3591CLIA #: 33D0007388Tests: COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 10/05/2027 Syracuse Endoscopy Associates LLC PFI: R312Secondary Site ID: 0000Certification Type: WAIVERDirector: Dennis W Reedy, M.D.Phone: (315) 234-6688Fax: (315) 234-6689Address: 5000 Campuswood Dr, East Syracuse, NY 13057County: OnondagaCountry: United StatesSingle or Primary Contact: Kathleen KendrickContact Phone: (315) 234-6688CLIA #: 33D1047534Tests: 11/08/2027 Hunter Area Ambulance Service PFI: R313Secondary Site ID: 0000Certification Type: WAIVERDirector: Robert M. Schneider, M.D.Phone: (518) 589-4045Fax: (518) 589-1055Address: 5748 Rte 23A, Tannersville, NY 12485County: GreeneCountry: United StatesSingle or Primary Contact: Ariel WoolheaterContact Phone: (518) 589-4045CLIA #: 33D1046328Tests: 10/06/2027 River Family Health Center PFI: R322Secondary Site ID: 0000Certification Type: PPMPDirector: Mursel Momand, M.D.Phone: (315) 482-2094Fax: (315) 482-3727Address: 6 Fuller St, Alexandria Bay, NY 13607County: JeffersonCountry: United StatesSingle or Primary Contact: Ariel KnightContact Phone: (315) 482-1243CLIA #: 33D1050774Tests: Blood Lead Direct Wet Mount Preps Glucose Hemoglobin Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Strep A Test Urinalysis 02/15/2028 Mount Sinai Baldwin Lab PFI: R329Secondary Site ID: 0000Certification Type: PPMPDirector: Frederic Moon, D.O.Phone: (516) 379-3139Fax: (516) 868-0683Address: 2277 Grand Ave, Baldwin, NY 11510County: NassauCountry: United StatesSingle or Primary Contact: Amber VitaleContact Phone: (516) 632-3251CLIA #: 33D2344759Tests: Direct Wet Mount Preps Fern Tests Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 06/15/2028 Copenhagen Central School Based Health Center PFI: R331Secondary Site ID: 0008Certification Type: WAIVERDirector: Joseph C Gianfagna, M.D.Phone: (315) 688-4411Fax: (315) 493-7353Address: 3020 Mechanic St, Copenhagen, NY 13626County: LewisCountry: United StatesSingle or Primary Contact: Maria DoldoContact Phone: (315) 519-5517CLIA #: 33D1047529Tests: Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis 11/08/2027 Carthage Middle School Based Health Center PFI: R331Secondary Site ID: 0007Certification Type: WAIVERDirector: Joseph C Gianfagna, M.D.Phone: (315) 493-5075Fax: (315) 493-4713Address: 21986 Cole Rd, Carthage, NY 13619County: JeffersonCountry: United StatesSingle or Primary Contact: Maria DoldoContact Phone: (315) 713-5025CLIA #: 33D1047529Tests: Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis 11/08/2027 Carthage Community Health Center PFI: R331Secondary Site ID: 0001Certification Type: WAIVERDirector: Joseph C Gianfagna, M.D.Phone: (315) 493-4187Fax: (315) 493-4188Address: 117 N Mechanic Street, Carthage, NY 13619County: JeffersonCountry: United StatesSingle or Primary Contact: Maria DoldoContact Phone: (315) 519-5517CLIA #: 33D1047529Tests: Glucose Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis 11/08/2027