Latta Road Nursing Home West LLC PFI: W344Secondary Site ID: 0000Certification Type: WAIVERDirector: Sonia Dar, M.D.Phone: (585) 225-0910Fax: (585) 225-5126Address: 2100 Latta Road, Rochester, NY 14612County: MonroeCountry: United StatesSingle or Primary Contact: Dominique BakerContact Phone: (585) 225-0910CLIA #: 33D2112827Tests: 05/11/2026 Latta Road Nursing Home East LLC PFI: W345Secondary Site ID: 0000Certification Type: WAIVERDirector: Sonia Dar, M.D.Phone: (585) 225-0920Fax: (585) 225-1514Address: 2102 Latta Road, Rochester, NY 14612County: MonroeCountry: United StatesSingle or Primary Contact: Dominique BakerContact Phone: (585) 225-0910CLIA #: 33D2112826Tests: 05/11/2026 Ivy Dialysis PFI: W346Secondary Site ID: 0000Certification Type: WAIVERDirector: Mohamed Atwaibi, M.D.Phone: (607) 737-4186Fax: (607) 737-4420Address: 602 Ivy Street, Elmira, NY 14905County: ChemungCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2112825Tests: 05/11/2026 Hospice and Palliative Care Inc PFI: W347Secondary Site ID: 0000Certification Type: WAIVERDirector: Julie D Moskal, N.P.Phone: (315) 735-6484Fax: (315) 793-8852Address: 4277 Middle Settlement Road, New Hartford, NY 13413County: OneidaCountry: United StatesSingle or Primary Contact: Mary BogdanContact Phone: (315) 735-6484CLIA #: 33D2112824Tests: 09/22/2026 Hamilton Manor Nursing Home LLC PFI: W348Secondary Site ID: 0000Certification Type: WAIVERDirector: Sonia Dar, M.D.Phone: (585) 225-0450Fax: (585) 225-4306Address: 1172 Long Pond Road, Rochester, NY 14626County: MonroeCountry: United StatesSingle or Primary Contact: James DonofrioContact Phone: (585) 225-0450CLIA #: 33D2112823Tests: 05/11/2026 Dermatology Associates of Ithaca PFI: W350Secondary Site ID: 0000Certification Type: PPMPDirector: Josephine C McAllister, M.D.Phone: (607) 257-1107Fax: (607) 257-0369Address: 1051 Craft Road, Ithaca, NY 14850County: TompkinsCountry: United StatesSingle or Primary Contact: Katie TerrazasContact Phone: (607) 257-1107CLIA #: 33D2112822Tests: Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) 06/15/2027 Corning Dialysis PFI: W351Secondary Site ID: 0000Certification Type: WAIVERDirector: Ibrahim Katerji, M.D.Phone: (607) 962-2790Fax: (607) 962-2991Address: 8 W Pulteney St - Suite 101, Corning, NY 14830County: SteubenCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2112818Tests: 05/11/2026 Evergreen Commons Rehabilitation and Nursing Center PFI: W352Secondary Site ID: 0000Certification Type: WAIVERDirector: Marie C Lingat, M.D.Phone: (518) 479-4662Fax: (518) 477-4465Address: 1070 Luther Road, East Greenbush, NY 12061County: RensselaerCountry: United StatesSingle or Primary Contact: Emily GiordanoContact Phone: (518) 479-4662CLIA #: 33D2113840Tests: COVID-19 ANTIGEN Glucose Protime Urinalysis 06/06/2026 New Concept Medical Care PFI: W353Secondary Site ID: 0000Certification Type: WAIVERDirector: Laura E. Hamilton, M.D.Phone: (315) 668-3002Fax: (315) 668-3946Address: 9675 Brewerton Road, Brewerton, NY 13029County: OnondagaCountry: United StatesSingle or Primary Contact: Anna LeibContact Phone: (315) 668-3936CLIA #: 33D2131261Tests: COVID-19 ANTIGEN Community Screening Influenza Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 05/25/2027 Saint Joseph's Medical Practice PC PFI: W355Secondary Site ID: 0000Certification Type: WAIVERDirector: Stuart W Moser, M.D.Phone: (718) 653-5622Fax: (718) 653-5627Address: 3328 Bainbridge Avenue, Bronx, NY 10467County: BronxCountry: United StatesSingle or Primary Contact: Robin KaufmanContact Phone: (718) 653-5622CLIA #: 33D0948149Tests: 06/23/2026 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W356Secondary Site ID: 0000Certification Type: WAIVERDirector: Surbhi Agarwal, M.D.Phone: (914) 736-0400Fax: (914) 736-9632Address: 211 S Division St, Peekskill, NY 10566County: WestchesterCountry: United StatesSingle or Primary Contact: Lisa VarianoContact Phone: (914) 739-0087CLIA #: 33D0138680Tests: COVID-19 ANTIGEN Glucose Influenza Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 06/09/2026 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W357Secondary Site ID: 0000Certification Type: PPMPDirector: William Higgins, M.D.Phone: (845) 809-5661Fax: (845) 809-5663Address: 1756 Rte 9D - Suite 104, Cold Spring, NY 10516County: PutnamCountry: United StatesSingle or Primary Contact: Lisa VarianoContact Phone: (914) 739-0087CLIA #: 33D2009653Tests: COVID-19 ANTIGEN Direct Wet Mount Preps Glycosylated Hemoglobin Hematocrit Helicobacter Pylori Influenza Microalbumin Mononucleosis Occult Blood Potassium Hydroxide (KOH Preps) Protime Pregnancy Test (Urine) Strep A Test Urinalysis 06/17/2026 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W358Secondary Site ID: 0000Certification Type: WAIVERDirector: Douglas Sankar, M.D.Phone: (914) 293-8600Fax: (914) 293-8606Address: 1978 Crompond Rd, Cortlandt Manor, NY 10567County: WestchesterCountry: United StatesSingle or Primary Contact: Lisa VarianoContact Phone: (914) 739-0087CLIA #: 33D2033634Tests: 06/09/2026 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W359Secondary Site ID: 0000Certification Type: PPMPDirector: Tracy b Hemmerdinger, M.D.Phone: (914) 736-6180Fax: (914) 736-6180Address: 1978 Crompond Rd, Cortlandt Manor, NY 10567County: WestchesterCountry: United StatesSingle or Primary Contact: Carole LynnContact Phone: (914) 739-0087CLIA #: 33D2014990Tests: Direct Wet Mount Preps Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) Urinalysis 06/17/2026 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W360Secondary Site ID: 0000Certification Type: WAIVERDirector: James Trapasso, M.D.Phone: (914) 739-6550Fax: (914) 739-4575Address: 1985 Crompond Rd - Bldg D, Cortlandt Manor, NY 10567County: WestchesterCountry: United StatesSingle or Primary Contact: Lisa VarianoContact Phone: (914) 739-0087CLIA #: 33D0866024Tests: COVID-19 ANTIGEN Influenza Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 06/09/2026 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W361Secondary Site ID: 0000Certification Type: WAIVERDirector: Daniela Spitzer, M.D.Phone: (914) 962-5533Fax: (914) 962-5532Address: 2050 Saw Mill River Rd, Yorktown Heights, NY 10598County: WestchesterCountry: United StatesSingle or Primary Contact: Lisa VarianoContact Phone: (914) 739-0087CLIA #: 33D1075838Tests: COVID-19 ANTIGEN Glucose Influenza Microalbumin Occult Blood Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 06/09/2026 The Synergy Center Laboratory PFI: W363Secondary Site ID: 0000Certification Type: PPMPDirector: Lori Anderson, M.D.Phone: (315) 692-2037Fax: (315) 692-2102Address: 4500 Pewter Lane - Bldgs 8-9, Manlius, NY 13104County: OnondagaCountry: United StatesSingle or Primary Contact: Amanda SchaalContact Phone: (315) 692-2037CLIA #: 33D2114017Tests: Direct Wet Mount Preps Influenza Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Pregnancy Test (Urine) Strep A Test Urinalysis 06/09/2026 Pediatrics of Sleepy Hollow LLP PFI: W364Secondary Site ID: 0000Certification Type: WAIVERDirector: Emily M Koelsch, M.D.Phone: (914) 332-4141Fax: (914) 332-0750Address: 150 White Plains Rd - Suite 101, Tarrytown, NY 10591County: WestchesterCountry: United StatesSingle or Primary Contact: Caroline ChoContact Phone: (914) 332-4141CLIA #: 33D0139365Tests: Blood Lead Cholesterol Hemoglobin Influenza Occult Blood COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 06/17/2026 Rotterdam-Schenectady Dialysis Center PFI: W365Secondary Site ID: 0000Certification Type: WAIVERDirector: Hani L Shahata, M.D.Phone: (518) 382-5309Fax: (518) 382-5860Address: 1594 State Street, Schenectady, NY 12304County: SchenectadyCountry: United StatesSingle or Primary Contact: Chandra W NarineContact Phone: (978) 500-2809CLIA #: 33D2114756Tests: 06/27/2026 Putnam Pediatric of BCHP PFI: W374Secondary Site ID: 0000Certification Type: WAIVERDirector: Lalaine C Mortera, M.D.Phone: (845) 279-9652Fax: (845) 279-3606Address: 667 Stoneleigh Ave - Suite 111, Carmel, NY 10512County: PutnamCountry: United StatesSingle or Primary Contact: Kristi OakesContact Phone: (845) 279-9652CLIA #: 33D0670196Tests: Glucose Hemoglobin Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 07/26/2027