Orthopaedics Spine and Sports Medicine LLC
PFI: W460
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Charles Ruotolo, M.D.
Phone: (718) 684-4677
Fax: (516) 795-3036
Address: 2510 Westchester Ave - Suite 100, Bronx, NY 10461
County: Bronx
Country: United States
Single or Primary Contact: Lauren Frantellizzi
Contact Phone: (516) 795-3033
CLIA #: 33D2118577
Tests:
09/13/2026
Orthopaedics Spine and Sports Medicine LLC
PFI: W461
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Charles Ruotolo, M.D.
Phone: (855) 321-6784
Fax: (516) 795-3036
Address: 2103 Deer Park Avenue, Deer Park, NY 11729
County: Suffolk
Country: United States
Single or Primary Contact: Lauren Frantellizzi
Contact Phone: (516) 795-3033
CLIA #: 33D2117589
Tests:
08/22/2026
Plank Road Family Care
PFI: W462
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Jeffrey W Wike, M.D.
Phone: (315) 701-1206
Fax:
Address: 792 N Main St - Suite 200A, North Syracuse, NY 13212
County: Onondaga
Country: United States
Single or Primary Contact: Shannon LoBello
Contact Phone: (315) 701-1206
CLIA #: 33D2131259
Tests:
Pregnancy Test (Urine) Strep A Test Urinalysis
05/25/2025
Quad Med - Kohls Mamakating NY
PFI: W464
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Brigg W Barsness, M.D.
Phone: (845) 888-8181
Fax: (317) 855-3717
Address: 3440 State Rte 209, Wurtsboro, NY 12790
County: Sullivan
Country: United States
Single or Primary Contact: Amita Mirani
Contact Phone: (414) 566-8452
CLIA #: 33D2116484
Tests:
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: W466
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Fadi H Sayegh, M.D.
Phone: (718) 548-4560
Fax: (718) 548-6959
Address: 530 W 236th Street, Bronx, NY 10463
County: Bronx
Country: United States
Single or Primary Contact: Robin Kaufman
Contact Phone: (718) 653-5622
CLIA #: 33D0890061
Tests:
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: W467
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 474-5900
Fax: (631) 828-1946
Address: 4724 Nesconset Highway, Port Jefferson Sta, NY 11776
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2031431
Tests:
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: W468
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 254-5900
Fax: (631) 392-0948
Address: 1930 Deer Park Ave, Deer Park, NY 11729
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2037792
Tests:
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: W469
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 360-5900
Fax: (631) 360-9403
Address: 519 W Jericho Tpk, Smithtown, NY 11787
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D1040032
Tests:
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: W470
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 581-5900
Fax: (631) 968-1792
Address: 1850 Sunrise Hwy, Bay Shore, NY 11706
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2072659
Tests:
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: W471
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 563-7828
Fax: (631) 563-7837
Address: 5600 Sunrise Hwy, Sayville, NY 11782
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2066046
Tests:
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: W472
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 471-5900
Fax: (631) 471-5901
Address: 600 Portion Rd, Ronkonkoma, NY 11779
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2077607
Tests:
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: W473
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Daniel M Frogel, M.D.
Phone: (516) 938-5900
Fax: (516) 495-4577
Address: 1117 Old Country Rd, Plainview, NY 11803
County: Nassau
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2061992
Tests:
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: W474
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 734-5505
Fax: (631) 734-8365
Address: 32645 Main Road, Cutchogue, NY 11935
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2118448
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/08/2026
City Medical of Upper East Side PLLC
PFI: W475
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dmitry Volfson, D.O.
Phone: (631) 821-5900
Fax: (631) 821-5906
Address: 47 Rte 25A, Rocky Point, NY 11778
County: Suffolk
Country: United States
Single or Primary Contact: Ilana Kantor
Contact Phone: (908) 588-3635
CLIA #: 33D2112323
Tests:
COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis
09/16/2026
Statcare Urgent and Walk-In Medical Care
PFI: W476
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Sandeep Jain, M.D.
Phone: (718) 379-8800
Fax: (718) 379-8801
Address: 2063A Bartow Ave, Bronx, NY 10475
County: Bronx
Country: United States
Single or Primary Contact: Priti Jain
Contact Phone: (516) 695-7493
CLIA #: 33D2116790
Tests:
COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Influenza Mononucleosis Occult Blood pH Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis
08/03/2026
TLC Emergency Medical Services Inc
PFI: W477
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Patsy M Iannolo, M.D.
Phone: (607) 756-8389
Fax: (607) 756-5199
Address: 4377 N Homer Ave, Cortland, NY 13045
County: Cortland
Country: United States
Single or Primary Contact: Mr. Scott A Cary
Contact Phone: (315) 952-1638
CLIA #: 33D2116485
Tests:
Community Screening Glucose COVID-19 MOLECULAR
08/03/2026
TLC Medical Transportation Services Inc.
PFI: W478
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Patsy M Iannolo, M.D.
Phone: (315) 422-0211
Fax: (315) 448-1824
Address: 638 Burnet Ave, Syracuse, NY 13203
County: Onondaga
Country: United States
Single or Primary Contact: Mr. Scott A Cary
Contact Phone: (315) 952-1638
CLIA #: 33D2116486
Tests:
Community Screening Glucose COVID-19 MOLECULAR
08/03/2026
Urgent Care Med of New York LLC dba Yale New Haven Health Urgent Care
PFI: W480
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Jeannie M Kenkare, D.O.
Phone: (914) 743-1881
Fax: (914) 743-1882
Address: 3085 E Main St - Suite 12A, Mohegan Lake, NY 10547
County: Westchester
Country: United States
Single or Primary Contact: Lindsey Rocha
Contact Phone: (860) 430-1246
CLIA #: 33D2117596
Tests:
COVID-19 ANTIGEN Blood Urea Nitrogen (BUN) Breath Alcohol Chloride Creatinine Drugs of Abuse Glucose Hemoglobin Influenza Mononucleosis Occult Blood Potassium Pregnancy Test (Urine) Sodium Strep A Test Urinalysis
08/22/2026
Washingtonville Pediatrics
PFI: W482
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Martina Bezdickova, M.D.
Phone: (845) 496-5437
Fax: (845) 496-7640
Address: 10 Weathervane Drive, Washingtonville, NY 10992
County: Orange
Country: United States
Single or Primary Contact: Melissa Colon
Contact Phone: (845) 496-5437
CLIA #: 33D0142541
Tests:
Blood Lead Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis
11/02/2026
Southtowns Surgery Center LLC
PFI: W483
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Michael A Rauh, M.D.
Phone: (716) 740-8330
Fax: (716) 740-8418
Address: 5959 Big Tree Rd - Suite 100, Orchard Park, NY 14127
County: Erie
Country: United States
Single or Primary Contact: Mary R Graham
Contact Phone: (716) 440-0922
CLIA #: 33D2116442
Tests:
Glucose Pregnancy Test (Urine)
08/03/2026