Mohawk Ambulance Service PFI: X205Secondary Site ID: 0000Certification Type: WAIVERDirector: Heidi P Cordi, M.D.Phone: (518) 453-4124Fax: (518) 453-2597Address: 570 Central Avenue, Albany, NY 12206County: AlbanyCountry: United StatesSingle or Primary Contact: Kenneth DottContact Phone: (518) 453-4124CLIA #: 33D2138375Tests: 10/17/2027 Doctors Ambulance Service PFI: X206Secondary Site ID: 0000Certification Type: WAIVERDirector: Heidi P Cordi, M.D.Phone: (518) 453-4124Fax: (518) 453-2597Address: 570 Central Avenue, Albany, NY 12206County: AlbanyCountry: United StatesSingle or Primary Contact: Kenneth DottContact Phone: (518) 453-4124CLIA #: 33D2138371Tests: 10/17/2027 Capital District Ambulance PFI: X207Secondary Site ID: 0000Certification Type: WAIVERDirector: Heidi P Cordi, M.D.Phone: (518) 453-4124Fax: (518) 453-2597Address: 290 Quail Street, Albany, NY 12208County: AlbanyCountry: United StatesSingle or Primary Contact: Kenneth DottContact Phone: (518) 453-4124CLIA #: 33D2138373Tests: 10/17/2027 Mohawk Ambulance Service PFI: X208Secondary Site ID: 0000Certification Type: WAIVERDirector: Heidi P Cordi, M.D.Phone: (518) 453-4124Fax: (518) 453-2597Address: 290 Quail Street, Albany, NY 12208County: AlbanyCountry: United StatesSingle or Primary Contact: Kenneth DottContact Phone: (518) 453-4124CLIA #: 33D2138374Tests: 10/17/2027 Crossways Park Dialysis PFI: X211Secondary Site ID: 0000Certification Type: WAIVERDirector: Jeffrey T Cohen, M.D.Phone: (516) 921-0914Fax: (516) 364-0164Address: 113 Crossways Park Dr - Suite 102, Woodbury, NY 11797County: NassauCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2138147Tests: 10/25/2027 Suffolk Primary Health LLC PFI: X213Secondary Site ID: 0000Certification Type: WAIVERDirector: Simon Fensterszaub, D.O.Phone: (631) 208-4460Fax: (631) 208-4462Address: 170 Old Country Rd, Riverhead, NY 11901County: SuffolkCountry: United StatesSingle or Primary Contact: Malky NissanContact Phone: (347) 526-5798CLIA #: 33D2137930Tests: COVID-19 ANTIGEN Bacterial Vaginosis, Rapid Calcium Cholesterol Drugs of Abuse Glucose Glycosylated Hemoglobin HDL Cholesterol Helicobacter Pylori Influenza LDL Cholesterol Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Sodium Strep A Test Thyroid Stimulating Hormone (TSH) Urinalysis Complete Blood Count 10/25/2027 Rockaways ASC Development LLC PFI: X215Secondary Site ID: 0000Certification Type: WAIVERDirector: Anthony T. Pacia, M.D.Phone: (718) 819-5448Fax: (718) 945-8792Address: 105-20 Rockaway Beach Blvd-Ste 301, Rockaway Park, NY 11694County: QueensCountry: United StatesSingle or Primary Contact: Ashley BlancoContact Phone: (347) 579-4907CLIA #: 33D2140189Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid 01/01/2028 Peconic Bay Primary Medical Care P.C. PFI: X216Secondary Site ID: 0000Certification Type: WAIVERDirector: Darya Sterling, D.O.Phone: (631) 728-4500Fax: (631) 594-3741Address: 80 Montauk Hwy Suite 102, Hampton Bays, NY 11946County: SuffolkCountry: United StatesSingle or Primary Contact: Meaghan SabatinoContact Phone: (631) 298-4479CLIA #: 33D2141491Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Helicobacter Pylori Influenza Mononucleosis Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis 01/01/2028 Greenpoint Special Needs Inc PFI: X218Secondary Site ID: 0000Certification Type: WAIVERDirector: Ahmet L Guler, M.D.Phone: (315) 451-4567Fax: (315) 453-1026Address: 138 Old Liverpool Road, Liverpool, NY 13088County: OnondagaCountry: United StatesSingle or Primary Contact: Joshua MorrisContact Phone: (315) 451-4567CLIA #: 33D2138146Tests: COVID-19 ANTIGEN Community Screening Glucose 10/25/2027 Gerrittsen Beach Fire Volunteers Inc PFI: X219Secondary Site ID: 0000Certification Type: WAIVERDirector: David Eng, M.D.Phone: (718) 332-9292Fax: Address: 52 Seba Ave, Brooklyn, NY 11229County: KingsCountry: United StatesSingle or Primary Contact: Daniel CavanaghContact Phone: (347) 277-0911CLIA #: 33D2137809Tests: 10/25/2027 Dunkirk Dialysis PFI: X220Secondary Site ID: 0000Certification Type: WAIVERDirector: Kiran Kandukurti, M.D.Phone: (716) 366-1931Fax: (716) 366-2105Address: 3958 Vineyard Drive, Dunkirk, NY 14048County: NassauCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2138148Tests: 11/06/2027 Bronx Community College Office of Health Services PFI: X221Secondary Site ID: 0000Certification Type: PPMPDirector: Daniel E Charnoff, M.D.Phone: (718) 289-5100Fax: (718) 289-6074Address: 2155 Univ Ave - Loew Hall Rm 101, Bronx, NY 10453County: BronxCountry: United StatesSingle or Primary Contact: Alex AboagyeContact Phone: (718) 289-5100CLIA #: 33D2141114Tests: Pregnancy Test (Urine) Urine Sediment Exams 09/07/2027 City Medical of Upper East Side PLLC PFI: X223Secondary Site ID: 0000Certification Type: WAIVERDirector: Dmitry Volfson, D.O.Phone: (631) 230-5772Fax: (631) 230-5773Address: 901 Sunrise Hwy, Copiague, NY 11726County: SuffolkCountry: United StatesSingle or Primary Contact: Ilana KantorContact Phone: (908) 588-3635CLIA #: 33D2140193Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 12/01/2027 City Medical of Upper East Side PLLC PFI: X224Secondary Site ID: 0000Certification Type: WAIVERDirector: Dmitry Volfson, D.O.Phone: (631) 230-5770Fax: (631) 230-5771Address: 895 Montauk Hwy, Shirley, NY 11967County: SuffolkCountry: United StatesSingle or Primary Contact: Ilana KantorContact Phone: (908) 588-3635CLIA #: 33D2140194Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Influenza Mononucleosis Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 12/01/2027 Oneida Health Cancer Care PFI: X229Secondary Site ID: 0000Certification Type: WAIVERDirector: Roberto F martinez, M.D.Phone: (315) 361-2381Fax: (315) 361-2398Address: 604 Seneca Street, Oneida, NY 13421County: MadisonCountry: United StatesSingle or Primary Contact: Erica DouglassContact Phone: (315) 361-2020CLIA #: 33D2138832Tests: 11/01/2027 E+A Medical Solutions LLC dba Bronx Health Center PFI: X230Secondary Site ID: 0000Certification Type: WAIVERDirector: Omolara A Olaniyi, Ph.D., N.P.Phone: (718) 306-6220Fax: (347) 252-6261Address: 253 E 142nd St, Bronx, NY 10451County: BronxCountry: United StatesSingle or Primary Contact: Araxi GevorgyanContact Phone: (516) 241-1312CLIA #: 33D2138835Tests: Glucose Pregnancy Test (Urine) 10/25/2027 Essen Medical Urgicare PLLC dba Metro Urgicare PFI: X234Secondary Site ID: 0000Certification Type: WAIVERDirector: Sumir P Sahgal, M.D.Phone: (718) 892-5500Fax: (718) 892-5505Address: 1381 White Plains Rd, Bronx, NY 10462County: BronxCountry: United StatesSingle or Primary Contact: Rosemary GonzalezContact Phone: (646) 340-1305CLIA #: 33D2143102Tests: COVID-19 ANTIGEN Community Screening Drugs of Abuse Glucose Glycosylated Hemoglobin Helicobacter Pylori Influenza Mononucleosis Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid RSV (Respiratory Syncytial Virus) COVID-19 ANTIBODY Strep A Test Urinalysis 02/01/2028 Saint Mary's Hospital PFI: X237Secondary Site ID: 0001Certification Type: WAIVERDirector: Marielena Velez de Brown, M.D.Phone: (585) 753-5189Fax: (585) 753-5200Address: 89 Genesee Street, Rochester, NY 14611County: MonroeCountry: United StatesSingle or Primary Contact: Leslie GeigerContact Phone: (585) 753-5196CLIA #: 33D2141141Tests: 10/19/2026 Waring Road Plaza PFI: X237Secondary Site ID: 0002Certification Type: WAIVERDirector: Marielena Velez de Brown, M.D.Phone: (585) 753-5080Fax: (585) 753-5082Address: 250 Waring Rd, Rochester, NY 14609County: MonroeCountry: United StatesSingle or Primary Contact: Leslie GeigerContact Phone: (585) 753-5101CLIA #: 33D2141141Tests: 10/19/2026 Saint Peter's Episcopal Church PFI: X237Secondary Site ID: 0003Certification Type: WAIVERDirector: Marielena Velez de Brown, M.D.Phone: (585) 334-1110Fax: Address: 3825 East Henrietta Rd, Henrietta, NY 14467County: MonroeCountry: United StatesSingle or Primary Contact: Leslie GeigerContact Phone: (585) 435-1039CLIA #: 33D2141141Tests: 10/19/2026