Family Service League DASH PFI: F204Secondary Site ID: 0000Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (734) 223-6513Fax: (631) 656-1322Address: 90 Adams Ave, Hauppauge, NY 11788County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 396-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Central Islip Clinic PFI: F204Secondary Site ID: 0002Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (631) 663-4300Fax: (631) 439-4066Address: 320 Carlton Ave, Central Islip, NY 11722County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 935-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 South Shore Clinic PFI: F204Secondary Site ID: 0001Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (631) 309-6811Fax: (631) 292-6898Address: 1448 5th Ave, Bay Shore, NY 11706County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 935-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Huntington Clinic PFI: F204Secondary Site ID: 0004Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (631) 396-2300Fax: (631) 396-2361Address: 55 Horizon Dr, Huntington, NY 11743County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 935-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Mastic Clinic PFI: F204Secondary Site ID: 0005Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (631) 924-3741Fax: (631) 924-2413Address: 1235 Montauk Hwy, Mastic, NY 11950County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 935-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Mattituck Clinic PFI: F204Secondary Site ID: 0006Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (631) 298-7995Fax: (631) 298-4869Address: 7555 Main Rd, Mattituck, NY 11952County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 935-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Riverhead Clinic PFI: F204Secondary Site ID: 0007Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (631) 772-3215Fax: (631) 369-5433Address: 400 W Main St, Riverhead, NY 11901County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 935-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Easthampton Clinic PFI: F204Secondary Site ID: 0003Certification Type: WAIVERDirector: Suzanne Krishnamoorthy, M.D.Phone: (631) 324-3344Fax: (631) 324-6709Address: 316 Accobonac Rd, East Hampton, NY 11937County: SuffolkCountry: United StatesSingle or Primary Contact: Christian RacineContact Phone: (631) 935-2342CLIA #: 33D2256974Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) 04/06/2028 Mount Sinai Doctors - Astoria PFI: F205Secondary Site ID: 0000Certification Type: WAIVERDirector: Stephen K Sigworth, M.D.Phone: (718) 808-7777Fax: (718) 808-7755Address: 25-20 30th Ave, Astoria, NY 11102County: QueensCountry: United StatesSingle or Primary Contact: Dolly ChoyContact Phone: (929) 505-4341CLIA #: 33D2258488Tests: Community Screening Glucose Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 05/18/2028 Brooklyn Comprehensive Care Center Inc PFI: F207Secondary Site ID: 0000Certification Type: WAIVERDirector: Arkadiy Shusterman, D.O.Phone: (718) 333-2500Fax: (718) 265-2714Address: 7608 Bay Pkwy - Suites B and C, Brooklyn, NY 11214County: KingsCountry: United StatesSingle or Primary Contact: Arkady StarovoytContact Phone: (646) 704-3485CLIA #: 33D0993397Tests: Glucose Occult Blood Pregnancy Test (Urine) Urinalysis 04/11/2028 Addictions Care Center of Albany-Queensbury Men's Residence PFI: F209Secondary Site ID: 0004Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 407-0563Fax: (518) 269-3493Address: 68 Quaker Rd, Queensbury, NY 12804County: WarrenCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany PFI: F209Secondary Site ID: 0000Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 465-5470Fax: (518) 463-1880Address: 90 McCarty Ave, Albany, NY 12202County: AlbanyCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: (518) 465-5470CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany-Troy Residence PFI: F209Secondary Site ID: 0005Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 407-0562Fax: (518) 463-1880Address: 504 2nd Ave, Troy, NY 12182County: RensselaerCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany PFI: F209Secondary Site ID: 0003Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 269-3494Fax: (518) 269-3493Address: 111 McCarty Ave, Albany, NY 12202County: AlbanyCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany PFI: F209Secondary Site ID: 0002Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 434-2367Fax: Address: 1044 Broadway, Albany, NY 12204County: AlbanyCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 Addictions Care Center of Albany - Queensbury PFI: F209Secondary Site ID: 0001Certification Type: WAIVERDirector: Jose David, M.D.Phone: (518) 407-0564Fax: (518) 681-3726Address: 79 Glenwood Ave, Queensbury, NY 12804County: WarrenCountry: United StatesSingle or Primary Contact: Erica BeaudetContact Phone: 5184655470126CLIA #: 33D2259715Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse 05/23/2028 City of Olean Ambulance Service PFI: F210Secondary Site ID: 0000Certification Type: WAIVERDirector: Brian M Walters, D.O.Phone: (716) 376-5609Fax: (716) 376-5681Address: 542 N Union St, Olean, NY 14760County: CattaraugusCountry: United StatesSingle or Primary Contact: Nathan VenoContact Phone: (716) 376-5609CLIA #: 33D2256983Tests: 04/13/2028 Elmcare Dialysis PFI: F212Secondary Site ID: 0000Certification Type: WAIVERDirector: Jeny Varghese, M.D.Phone: (929) 895-7482Fax: (929) 895-7023Address: 79-21 Queens Blvd, Elmhurst, NY 11373County: QueensCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2256991Tests: 04/13/2028 Main Street Radiology at Bayside LLC PFI: F214Secondary Site ID: 0000Certification Type: WAIVERDirector: Ari I. Jonisch, M.D.Phone: (718) 428-1500Fax: (718) 661-1305Address: 136-25 37th Ave, Flushing, NY 11354County: QueensCountry: United StatesSingle or Primary Contact: Steven KozakContact Phone: (718) 428-1500CLIA #: 33D2256995Tests: Blood Urea Nitrogen (BUN) Creatinine Glucose 04/13/2028 St Catherine of Siena Gastroenterology PFI: F218Secondary Site ID: 0000Certification Type: WAIVERDirector: Kanika Kaur, M.D.Phone: (631) 360-4000Fax: (631) 360-4100Address: 48 Rte 25A - Suite 105, Smithtown, NY 11787County: SuffolkCountry: United StatesSingle or Primary Contact: Danielle ArmstrongContact Phone: (631) 360-4000CLIA #: 33D2257001Tests: Glucose Pregnancy Test (Urine) 04/13/2028