Good Samaritan Hospital Pediatric Specialty Care at Ryan Bldg
PFI: E257
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dilys A Whyte, M.D.
Phone: (631) 321-2100
Fax: (631) 321-2186
Address: 2000 North Village Ave - Suite 310, Rockville Centre, NY 11570
County: Nassau
Country: United States
Single or Primary Contact: Regina Barrett
Contact Phone: (631) 321-2100
CLIA #: 33D2236794
Tests:
Glucose Occult Blood Urinalysis
09/21/2023
Lenox Hill Radiology - Eastern Parkway
PFI: E258
Secondary Site ID: 0000
Certification Type: WAIVER
Director: John Melnick, M.D.
Phone: (718) 732-0222
Fax:
Address: 1128 Eastern Pkwy, Brooklyn, NY 11213
County: Kings
Country: United States
Single or Primary Contact: Samson Lau
Contact Phone: (347) 578-8610
CLIA #: 33D2234213
Tests:
Blood Urea Nitrogen (BUN) Creatinine
10/18/2025
Catholic Health Physician Partners Integrated Care at Patchogue
PFI: E261
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Rohit Gautam, M.D.
Phone: (631) 228-5530
Fax: (631) 396-4295
Address: 55 Medford Ave, Patchogue, NY 11772
County: Suffolk
Country: United States
Single or Primary Contact: Keila Pettus
Contact Phone: (631) 228-5530
CLIA #: 33D2232844
Tests:
Drugs of Abuse Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis
08/18/2025
Larchmont Pharmacy Inc
PFI: E262
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Steven W Pappas, M.D.
Phone: (914) 341-1900
Fax: (914) 341-1907
Address: 2141 Palmer Ave, Larchmont, NY 10538
County: Westchester
Country: United States
Single or Primary Contact: Douglas Kristensen
Contact Phone: (914) 341-1900
CLIA #: 33D2232842
Tests:
COVID-19 ANTIGEN Community Screening Influenza COVID-19 MOLECULAR
08/18/2025
CS Medical Associates PC
PFI: E263
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Paolo T Coppola, M.D.
Phone: (631) 696-4357
Fax: (631) 387-4849
Address: 5100 Sunrise Hwy, Massapequa Park, NY 11762
County: Nassau
Country: United States
Single or Primary Contact: Tracey Wallace
Contact Phone: (631) 696-4357
CLIA #: 33D2232843
Tests:
Breath Alcohol Drugs of Abuse Glucose Influenza Mononucleosis Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test
09/15/2025
New Hope Family Services
PFI: E264
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Christopher P LaRussa, M.D.
Phone: (315) 437-8300
Fax: (315) 437-9107
Address: 3519 James St, Syracuse, NY 13206
County: Onondaga
Country: United States
Single or Primary Contact: Amy Elkins
Contact Phone: (315) 437-8300
CLIA #: 33D2234214
Tests:
Community Screening Pregnancy Test (Urine)
09/01/2025
Saint Thomas Choir School
PFI: E265
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Matthew J Allman, P.A.
Phone: (212) 247-3311
Fax:
Address: 202 W 58th St, New York, NY 10019
County: New York
Country: United States
Single or Primary Contact: Ms. Miriam Allman
Contact Phone: (901) 570-1340
CLIA #: 33D2233764
Tests:
COVID-19 ANTIGEN Community Screening
09/01/2023
Garnet Health Doctors - Monroe
PFI: E266
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Izabela Nowosielski, M.D.
Phone: (845) 333-7830
Fax:
Address: 475 Rte 17M, Monroe, NY 10950
County: Orange
Country: United States
Single or Primary Contact: Debra Martin
Contact Phone: (845) 707-2016
CLIA #: 33D2233487
Tests:
Community Screening Glucose Glycosylated Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis
09/01/2025
Garnet Health Doctors - Callicoon
PFI: E267
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Izabela Nowosielski, M.D.
Phone: (845) 333-6800
Fax:
Address: 8881 NY 97, Callicoon, NY 12723
County: Sullivan
Country: United States
Single or Primary Contact: Debra Martin
Contact Phone: (845) 707-2016
CLIA #: 33D2233504
Tests:
Community Screening Glucose Glycosylated Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis
09/01/2025
Garnet Health Doctors - Livingston Manor
PFI: E268
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Izabela Nowosielski, M.D.
Phone: (845) 333-6555
Fax:
Address: 36 Pearl St, Livingston Manor, NY 12758
County: Sullivan
Country: United States
Single or Primary Contact: Debra Martin
Contact Phone: (845) 707-2016
CLIA #: 33D2233505
Tests:
Community Screening Glucose Glycosylated Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis
09/01/2025
Garnet Health Doctors - Monticello
PFI: E269
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Izabela Nowosielski, M.D.
Phone: (845) 333-6500
Fax: (845) 333-6501
Address: 38 Concord Rd, Monticello, NY 12701
County: Sullivan
Country: United States
Single or Primary Contact: Debra Martin
Contact Phone: (845) 707-2016
CLIA #: 33D2233506
Tests:
Community Screening Glucose Glycosylated Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis
09/01/2025
Garnet Health Doctors - Catskill
PFI: E272
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Izabela Nowosielski, M.D.
Phone: (845) 333-6900
Fax:
Address: 68 Harris Bushville Rd, Harris, NY 12742
County: Sullivan
Country: United States
Single or Primary Contact: Debra Martin
Contact Phone: (845) 707-2016
CLIA #: 33D2233510
Tests:
Community Screening Glucose Glycosylated Hemoglobin Pregnancy Test (Urine) Urinalysis
09/01/2025
Garnet Health Doctors - Goshen
PFI: E273
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Izabela Nowosielski, M.D.
Phone: (845) 333-7200
Fax:
Address: 102 Clowes Ave, Goshen, NY 10924
County: Orange
Country: United States
Single or Primary Contact: Debra Martin
Contact Phone: (845) 707-2016
CLIA #: 33D2233511
Tests:
Community Screening Glucose Glycosylated Hemoglobin Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis
09/01/2025
Roswell Park Urology
PFI: E274
Secondary Site ID: 0001
Certification Type: WAIVER
Director: Adam S. Kotowski, M.D.
Phone: (716) 285-0853
Fax: (716) 322-3283
Address: 10175 Niagara Falls Blvd, Niagara Falls, NY 14304
County: Niagara
Country: United States
Single or Primary Contact: Erika De Almeida
Contact Phone: 71684513002226
CLIA #: 33D2234217
Tests:
09/01/2025
Roswell Park Southtowns
PFI: E274
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Adam S. Kotowski, M.D.
Phone: (716) 674-3104
Fax: (716) 674-0666
Address: 3041 Orchard Park Rd, Orchard Park, NY 14127
County: Erie
Country: United States
Single or Primary Contact: Erika De Almeida
Contact Phone: (716) 845-1300
CLIA #: 33D2234217
Tests:
09/01/2025
US Pharmacy and Surgical Inc
PFI: E277
Secondary Site ID: 0000
Certification Type: WAIVER
Director: MD Mashiur R Majumder, P.A.
Phone: (718) 484-1500
Fax: (718) 484-1511
Address: 1259 Fulton St, Brooklyn, NY 11216
County: Kings
Country: United States
Single or Primary Contact: Mr. Mohammad Rahman
Contact Phone: (718) 484-1500
CLIA #: 33D2224528
Tests:
COVID-19 ANTIGEN Adenovirus Bordetella parapertussis Bordetella pertussis Chlamydophila pneumoniae Community Screening Coronavirus Human Metapneumovirus Influenza Mycoplasma pneumoniae Parainfluenza Virus COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus)
08/24/2023
Community Care Elite Services LLC
PFI: E278
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Bridgett Burroughs, N.P.
Phone: (516) 960-8629
Fax: (516) 280-3121
Address: 535 S Franklin St, Hempstead, NY 11550
County: Nassau
Country: United States
Single or Primary Contact:
Contact Phone:
CLIA #: 33D2230128
Tests:
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
09/21/2025
Action Wellness NP in Family Health PLLC
PFI: E279
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Melinda Clarke, N.P.
Phone: (631) 500-0388
Fax: (949) 561-5162
Address: 116 N Huron St, Ronkonkoma, NY 11779
County: Suffolk
Country: United States
Single or Primary Contact:
Contact Phone:
CLIA #: 33D2234191
Tests:
COVID-19 ANTIGEN Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) COVID-19 ANTIBODY Strep A Test Urinalysis
09/01/2023
Adirondack Apothecary
PFI: E280
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chester H Fox, M.D.
Phone: (518) 546-7244
Fax: (518) 546-9722
Address: 4315 Main St, Port Henry, NY 12974
County: Essex
Country: United States
Single or Primary Contact: Rebecca Doyle
Contact Phone: (518) 532-7575
CLIA #: 33D2200394
Tests:
COVID-19 ANTIGEN Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Mononucleosis COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Triglycerides
09/15/2025
New ROC Athletics LLC
PFI: E281
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Yasmin Dhar, M.D.
Phone: (914) 740-6872
Fax: (914) 813-1265
Address: 19 Lecount Pl, New Rochelle, NY 10801
County: Westchester
Country: United States
Single or Primary Contact: Ms. Jessica Rayford
Contact Phone: (914) 740-6872
CLIA #: 33D2234193
Tests:
COVID-19 ANTIGEN Community Screening
09/01/2023