Medical Group of New York PC PFI: W439Secondary Site ID: 0000Certification Type: WAIVERDirector: David G Fairchild, M.D.Phone: (866) 389-2727Fax: (401) 652-1360Address: 130 Lenox Ave, New York, NY 10026-2503County: New YorkCountry: United StatesSingle or Primary Contact: Maria MedeirosContact Phone: (401) 770-1610CLIA #: 33D2122427Tests: COVID-19 ANTIGEN Adenovirus Bacterial Vaginosis, Rapid Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Microalbumin Mononucleosis Pregnancy Test (Urine) Trichomonas, Rapid COVID-19 MOLECULAR HCV, Rapid HIV, Rapid COVID-19 ANTIBODY Strep A Test Triglycerides Urinalysis 12/14/2026 St Francis Cardiovascular PC Garden City Heart Group PFI: W440Secondary Site ID: 0000Certification Type: WAIVERDirector: Mohammed Muneeruddin, M.D.Phone: (516) 599-0204Fax: (516) 887-5715Address: 108 Hempstead Ave, Lynbrook, NY 11563County: NassauCountry: United StatesSingle or Primary Contact: Sonia VieraContact Phone: (516) 599-0204CLIA #: 33D2116521Tests: Glucose Ketones Occult Blood pH Total Protein Urinalysis 08/03/2026 JHU Health and Wellness Center at Pepsico PFI: W441Secondary Site ID: 0000Certification Type: WAIVERDirector: Deanna M Lipscomb, P.A.Phone: (518) 782-2479Fax: (518) 783-2634Address: 1 Pepsi Cola Drive, Latham, NY 12110County: AlbanyCountry: United StatesSingle or Primary Contact: Deanna LipscombContact Phone: (518) 782-2479CLIA #: 33D2116510Tests: Cholesterol Glucose HDL Cholesterol LDL Cholesterol Occult Blood Strep A Test Triglycerides Urinalysis 08/03/2026 Medical Group of NY PC PFI: W443Secondary Site ID: 0000Certification Type: WAIVERDirector: David G Fairchild, M.D.Phone: (718) 848-4507Fax: (401) 652-9541Address: 15705 Crossbay Blvd, Howard Beach, NY 11414-2748County: QueensCountry: United StatesSingle or Primary Contact: Maria MedeirosContact Phone: (401) 770-1610CLIA #: 33D2116508Tests: COVID-19 ANTIGEN Adenovirus Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Microalbumin Mononucleosis Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid COVID-19 ANTIBODY Strep A Test Triglycerides Urinalysis 11/23/2026 Medical Group of New York PC PFI: W446Secondary Site ID: 0000Certification Type: WAIVERDirector: David G Fairchild, M.D.Phone: (718) 497-9192Fax: (401) 652-0467Address: 6115 Metropolitan Ave, Ridgewood, NY 11385-2644County: QueensCountry: United StatesSingle or Primary Contact: Maria MedeirosContact Phone: (401) 770-1610CLIA #: 33D2116495Tests: COVID-19 ANTIGEN Adenovirus Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Microalbumin Mononucleosis Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid COVID-19 ANTIBODY Strep A Test Triglycerides Urinalysis 09/21/2026 Hillside Certified Home Care Agency PFI: W448Secondary Site ID: 0000Certification Type: WAIVERDirector: Nodar Janas, M.D.Phone: (718) 304-2866Fax: (718) 523-2340Address: 3155 Grace Ave, Bronx, NY 10469County: BronxCountry: United StatesSingle or Primary Contact: Jimmy LiContact Phone: (718) 239-1850CLIA #: 33D2116479Tests: 08/03/2026 Gotham Per Diem Inc PFI: W449Secondary Site ID: 0000Certification Type: WAIVERDirector: Harry Berkowitz, M.D.Phone: (212) 477-6100Fax: (212) 477-0795Address: 90 Broad Street, Suite 1201, New York, NY 10004County: New YorkCountry: United StatesSingle or Primary Contact: Janet MaraghContact Phone: (212) 405-2320CLIA #: 33D2114883Tests: 09/13/2026 Northwell Greenwich Village Hospital PFI: W452Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Gianna Ballon, M.D.Phone: (646) 665-6522Fax: (646) 665-6535Address: 30 7th Avenue, New York, NY 10011County: New YorkCountry: United StatesSingle or Primary Contact: Laurie A BirnbaumContact Phone: (646) 665-6520CLIA #: 33D2075454Tests: Creatinine Glucose Pregnancy Test (Urine) 08/03/2026 Medcor at Sandoz - Fougera Hicksville PFI: W455Secondary Site ID: 0000Certification Type: WAIVERDirector: Craig H Friedman, M.D.Phone: (815) 363-9500Fax: (815) 759-5480Address: 55 Cantiague Rock Road, Hicksville, NY 11801County: NassauCountry: United StatesSingle or Primary Contact: Cassandra BielakContact Phone: (815) 363-9500CLIA #: 33D2136022Tests: COVID-19 ANTIGEN Cholesterol Community Screening Glucose HDL Cholesterol Influenza LDL Cholesterol Pregnancy Test (Urine) Strep A Test Triglycerides Urinalysis 09/15/2027 Medcor at Sandoz - Melville PFI: W456Secondary Site ID: 0000Certification Type: WAIVERDirector: Craig H Friedman, M.D.Phone: (815) 363-9500Fax: (815) 759-5480Address: 60 Bayliss Road, Melville, NY 11747-0103County: SuffolkCountry: United StatesSingle or Primary Contact: Ashley BackmanContact Phone: (815) 363-9500CLIA #: 33D2136023Tests: COVID-19 ANTIGEN Cholesterol Community Screening Glucose HDL Cholesterol Influenza LDL Cholesterol Pregnancy Test (Urine) Strep A Test Triglycerides Urinalysis 09/15/2027 Mount Sinai Doctors Long Island Five Towns PFI: W457Secondary Site ID: 0000Certification Type: WAIVERDirector: Daniel David Sacolick, M.D.Phone: (516) 563-7200Fax: (516) 563-7295Address: 1436 Broadway, Hewlett, NY 11557County: NassauCountry: United StatesSingle or Primary Contact: Nadege GentilContact Phone: (516) 563-7243CLIA #: 33D2117586Tests: Glucose Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis 08/22/2026 Orthopaedics Spine and Sports Medicine LLC PFI: W460Secondary Site ID: 0000Certification Type: WAIVERDirector: Charles Ruotolo, M.D.Phone: (718) 684-4677Fax: (516) 795-3036Address: 2510 Westchester Ave - Suite 100, Bronx, NY 10461County: BronxCountry: United StatesSingle or Primary Contact: Lauren FrantellizziContact Phone: (516) 795-3033CLIA #: 33D2118577Tests: 09/13/2026 Orthopaedics Spine and Sports Medicine LLC PFI: W461Secondary Site ID: 0000Certification Type: WAIVERDirector: Charles Ruotolo, M.D.Phone: (855) 321-6784Fax: (516) 795-3036Address: 2103 Deer Park Avenue, Deer Park, NY 11729County: SuffolkCountry: United StatesSingle or Primary Contact: Lauren FrantellizziContact Phone: (516) 795-3033CLIA #: 33D2117589Tests: 08/22/2026 Quad Med - Kohls Mamakating NY PFI: W464Secondary Site ID: 0000Certification Type: WAIVERDirector: Brigg W Barsness, M.D.Phone: (845) 888-8181Fax: (317) 855-3717Address: 3440 State Rte 209, Wurtsboro, NY 12790County: SullivanCountry: United StatesSingle or Primary Contact: Amita MiraniContact Phone: (414) 566-8452CLIA #: 33D2116484Tests: Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Microalbumin Mononucleosis Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Triglycerides Urinalysis 08/03/2026 St Joseph's Medical Practice PC PFI: W466Secondary Site ID: 0000Certification Type: WAIVERDirector: Fadi H Sayegh, M.D.Phone: (718) 548-4560Fax: (718) 548-6959Address: 530 W 236th Street, Bronx, NY 10463County: BronxCountry: United StatesSingle or Primary Contact: Robin KaufmanContact Phone: (718) 653-5622CLIA #: 33D0890061Tests: Glucose Glycosylated Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 08/03/2026 City Medical of Upper East Side PLLC PFI: W467Secondary Site ID: 0000Certification Type: WAIVERDirector: Dmitry Volfson, D.O.Phone: (631) 474-5900Fax: (631) 828-1946Address: 4724 Nesconset Highway, Port Jefferson Sta, NY 11776County: SuffolkCountry: United StatesSingle or Primary Contact: Ilana KantorContact Phone: (908) 588-3635CLIA #: 33D2031431Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 08/03/2026 City Medical of Upper East Side PLLC PFI: W468Secondary Site ID: 0000Certification Type: WAIVERDirector: Dmitry Volfson, D.O.Phone: (631) 254-5900Fax: (631) 392-0948Address: 1930 Deer Park Ave, Deer Park, NY 11729County: SuffolkCountry: United StatesSingle or Primary Contact: Ilana KantorContact Phone: (908) 588-3635CLIA #: 33D2037792Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 09/16/2026 City Medical of Upper East Side PLLC PFI: W469Secondary Site ID: 0000Certification Type: WAIVERDirector: Dmitry Volfson, D.O.Phone: (631) 360-5900Fax: (631) 360-9403Address: 519 W Jericho Tpk, Smithtown, NY 11787County: SuffolkCountry: United StatesSingle or Primary Contact: Ilana KantorContact Phone: (908) 588-3635CLIA #: 33D1040032Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 09/16/2026 City Medical of Upper East Side PLLC PFI: W470Secondary Site ID: 0000Certification Type: WAIVERDirector: Dmitry Volfson, D.O.Phone: (631) 581-5900Fax: (631) 968-1792Address: 1850 Sunrise Hwy, Bay Shore, NY 11706County: SuffolkCountry: United StatesSingle or Primary Contact: Ilana KantorContact Phone: (908) 588-3635CLIA #: 33D2072659Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 09/16/2026 City Medical of Upper East Side PLLC PFI: W471Secondary Site ID: 0000Certification Type: WAIVERDirector: Dmitry Volfson, D.O.Phone: (631) 563-7828Fax: (631) 563-7837Address: 5600 Sunrise Hwy, Sayville, NY 11782County: SuffolkCountry: United StatesSingle or Primary Contact: Ilana KantorContact Phone: (908) 588-3635CLIA #: 33D2066046Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 09/16/2026