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Dr M Giasullo PFI: Y495 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael Giasullo, M.D. Phone: (718) 837-5100 Fax: (718) 837-7762 Address: 7210 13th Ave - 3rd Floor, Brooklyn, NY 11228 County: Kings Country: United States Single or Primary Contact: Ms. Geraldine Chiappetta Contact Phone: (718) 439-2375 CLIA #: 33D2140557 Tests: Urinalysis	02/03/2024	Print
Keene Valley Neighborhood Services Inc PFI: Y496 Secondary Site ID: 0000 Certification Type: WAIVER Director: Devon G McCabe, N.P. Phone: (518) 576-4474 Fax: (518) 576-2012 Address: 1782 Rte 73, Keene Valley, NY 12943 County: Essex Country: United States Single or Primary Contact: Debra H Kent Contact Phone: (518) 576-9305 CLIA #: 33D2192909 Tests: COVID-19 ANTIGEN Glucose	09/16/2026	Print
Getty Square Dialysis PFI: Y497 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mauricio Valdes, M.D. Phone: (914) 377-1959 Fax: (914) 377-8425 Address: 11 Romaine Ave, Yonkers, NY 10705 County: Westchester Country: United States Single or Primary Contact: Carrie Pence Contact Phone: (615) 341-6410 CLIA #: 33D2172232 Tests: Glucose	09/23/2025	Print
Mount View Assisted Living PFI: Y498 Secondary Site ID: 0000 Certification Type: WAIVER Director: Amandeep Pal, M.D. Phone: (716) 433-0790 Fax: (716) 433-0793 Address: 5465 Upper Mountain Rd, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Stacy Kiblin Contact Phone: (716) 433-0790 CLIA #: 33D2172235 Tests: COVID-19 ANTIGEN Glucose	09/19/2025	Print
One Medical With Mt Sinai PFI: Y499 Secondary Site ID: 0000 Certification Type: PPMP Director: Jessica K Rosenberg, D.O. Phone: (212) 321-7002 Fax: (212) 867-4353 Address: 589 Third Ave, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2172238 Tests: COVID-19 ANTIGEN Blood Lead Community Screening Direct Wet Mount Preps Glucose Hemoglobin Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis	12/23/2025	Print
One Medical With Mt Sinai PFI: Y500 Secondary Site ID: 0000 Certification Type: PPMP Director: Samuel D Fam, D.O. Phone: (212) 321-7003 Fax: (212) 867-4353 Address: 114 W 17th Street, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2175987 Tests: COVID-19 ANTIGEN Blood Lead Community Screening Direct Wet Mount Preps Glucose Hemoglobin Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis	12/30/2025	Print
One Medical With Mt Sinai PFI: Y501 Secondary Site ID: 0000 Certification Type: PPMP Director: Maureen N Suter, M.D. Phone: (212) 321-7004 Fax: (212) 867-4353 Address: 12 W 48th St - Floor 2, New York, NY 10036 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2175984 Tests: COVID-19 ANTIGEN Community Screening Direct Wet Mount Preps Glucose Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis	12/23/2025	Print
One Medical With Mt Sinai PFI: Y502 Secondary Site ID: 0000 Certification Type: PPMP Director: Kristen A Semanision, D.O. Phone: (212) 321-7007 Fax: (212) 867-4353 Address: 171 East 65th Street, Floor 2, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2175982 Tests: COVID-19 ANTIGEN Blood Lead Community Screening Direct Wet Mount Preps Glucose Hemoglobin Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis	12/29/2025	Print
One Medical With Mt Sinai PFI: Y503 Secondary Site ID: 0000 Certification Type: PPMP Director: Juyeon P Lee, M.D. Phone: (212) 321-7001 Fax: (212) 867-4353 Address: 252 W 81st Street,Floor 2, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2175980 Tests: COVID-19 ANTIGEN Blood Lead Community Screening Direct Wet Mount Preps Glucose Hemoglobin Influenza Occult Blood Potassium Hydroxide (KOH Preps) Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis	12/29/2025	Print
Emerson Testing LLC PFI: Y504 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gary A Wehner, Ph.D., N.P. Phone: (607) 441-3071 Fax: (607) 441-3078 Address: 297 River Street Service Rd, Oneonta, NY 13820 County: Otsego Country: United States Single or Primary Contact: Amber Emerson Contact Phone: (607) 441-3071 CLIA #: 33D2178812 Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse	02/10/2024	Print
Trinity Medical OB/GYN Williamsville PFI: Y507 Secondary Site ID: 0001 Certification Type: PPMP Director: Jodi s Ball, M.D. Phone: (716) 559-3803 Fax: (716) 961-4198 Address: 192 Park Club Lane - Suite 120, Williamsville, NY 14221 County: Erie Country: United States Single or Primary Contact: Heather Bartlett Contact Phone: (716) 481-2584 CLIA #: 33D2174341 Tests: Direct Wet Mount Preps Fern Tests Potassium Hydroxide (KOH Preps) Post-coital Direct Pregnancy Test (Urine) Urinalysis	10/30/2025	Print
Trinity Medical OB/GYN Delaware District PFI: Y507 Secondary Site ID: 0000 Certification Type: PPMP Director: Jodi s Ball, M.D. Phone: (716) 846-1190 Fax: (716) 846-1191 Address: 897 Delaware - Suite 301, Buffalo, NY 14209 County: Erie Country: United States Single or Primary Contact: Heather Bartlett Contact Phone: (716) 481-2584 CLIA #: 33D2174341 Tests: Direct Wet Mount Preps Fern Tests Potassium Hydroxide (KOH Preps) Post-coital Direct Pregnancy Test (Urine) Urinalysis	10/30/2025	Print
Trinity Medical OB/GYN East Aurora PFI: Y508 Secondary Site ID: 0000 Certification Type: PPMP Director: Caitlin M Nicotra, D.O. Phone: (716) 458-1954 Fax: (716) 458-1955 Address: 94 Olean St - Suite 120, East Aurora, NY 14052 County: Erie Country: United States Single or Primary Contact: Rene Strazzella Contact Phone: (716) 458-1954 CLIA #: 33D2174343 Tests: Direct Wet Mount Preps Fern Tests Glucose Potassium Hydroxide (KOH Preps) pH Pregnancy Test (Urine) Urinalysis	10/30/2025	Print
Brooklyn College Emergency Medical Squad PFI: Y509 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bernard B Yonk, M.D. Phone: (718) 951-5859 Fax: (718) 951-4815 Address: 2900 Bedford Ave - Rm 021NE, Brooklyn, NY 11210 County: Kings Country: United States Single or Primary Contact: Fred Kneitel Contact Phone: (718) 951-5859 CLIA #: 33D2174345 Tests: Glucose	10/30/2025	Print
Lafayette Medical Approach PFI: Y511 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rakhshan M Chida, M.D. Phone: (212) 431-6177 Fax: (212) 966-7160 Address: 233 Lafayette Street, New York, NY 10012 County: New York Country: United States Single or Primary Contact: Joanne Ellison Contact Phone: (212) 431-6177 CLIA #: 33D2173065 Tests: HIV, Rapid	10/10/2025	Print
Southold Family Medicine a Location of Stony Brook Family Medical Grp PFI: Y512 Secondary Site ID: 0001 Certification Type: WAIVER Director: Jarid S Pachter, D.O. Phone: (631) 369-8966 Fax: (631) 369-8516 Address: 905 E Main St, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Isabella Scarpa Contact Phone: (631) 615-8271 CLIA #: 33D2173066 Tests: Breath Alcohol Drugs of Abuse Glucose Glycosylated Hemoglobin Influenza Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis	10/10/2025	Print
Southold Family Medicine a Location of Stony Brook Family Medical Grp PFI: Y512 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jarid S Pachter, D.O. Phone: (631) 734-8742 Fax: (631) 734-8745 Address: 44360 County Road 48, Southold, NY 11971 County: Suffolk Country: United States Single or Primary Contact: Isabella Scarpa Contact Phone: (631) 297-8889 CLIA #: 33D2173066 Tests: Breath Alcohol Drugs of Abuse Glucose Glycosylated Hemoglobin Influenza Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis	10/10/2025	Print
ACPHS - College Parkside Pharmacy PFI: Y515 Secondary Site ID: 0002 Certification Type: WAIVER Director: Robert J. Paeglow, M.D. Phone: (518) 694-8522 Fax: (518) 694-8523 Address: 900 Lark Dr, Albany, NY 12207 County: Albany Country: United States Single or Primary Contact: Dr. Michelle Parent Contact Phone: (518) 694-8522 CLIA #: 33D2173072 Tests: COVID-19 ANTIGEN Cholesterol Community Screening Creatinine Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza Ketones LDL Cholesterol Microalbumin Pregnancy Test (Urine) Triglycerides Urinalysis	10/10/2025	Print
ACPHS - College Hometown Pharmacy PFI: Y515 Secondary Site ID: 0003 Certification Type: WAIVER Director: Robert J. Paeglow, M.D. Phone: (518) 579-8100 Fax: (518) 579-8103 Address: 1044 State St, Schenectady, NY 12307 County: Schenectady Country: United States Single or Primary Contact: Dr. Michelle Parent Contact Phone: (518) 579-8100 CLIA #: 33D2173072 Tests: COVID-19 ANTIGEN Cholesterol Community Screening Creatinine Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza Ketones LDL Cholesterol Microalbumin Pregnancy Test (Urine) Triglycerides Urinalysis	10/10/2025	Print
ACPHS - Pharmacy Skills Lab PFI: Y515 Secondary Site ID: 0001 Certification Type: WAIVER Director: Robert J. Paeglow, M.D. Phone: (518) 694-7310 Fax: Address: 106 New Scotland Ave, Albany, NY 12202 County: Albany Country: United States Single or Primary Contact: Dr. Michelle Parent Contact Phone: (518) 694-7310 CLIA #: 33D2173072 Tests: COVID-19 ANTIGEN Cholesterol Community Screening Creatinine Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza Ketones LDL Cholesterol Microalbumin Pregnancy Test (Urine) Triglycerides Urinalysis	10/10/2025	Print

Dr M Giasullo

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Keene Valley Neighborhood Services Inc

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Getty Square Dialysis

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Mount View Assisted Living

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One Medical With Mt Sinai

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One Medical With Mt Sinai

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One Medical With Mt Sinai

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One Medical With Mt Sinai

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One Medical With Mt Sinai

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Emerson Testing LLC

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Trinity Medical OB/GYN Williamsville

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Trinity Medical OB/GYN Delaware District

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Trinity Medical OB/GYN East Aurora

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Brooklyn College Emergency Medical Squad

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Lafayette Medical Approach

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Southold Family Medicine a Location of Stony Brook Family Medical Grp

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Southold Family Medicine a Location of Stony Brook Family Medical Grp

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ACPHS - College Parkside Pharmacy

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ACPHS - College Hometown Pharmacy

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ACPHS - Pharmacy Skills Lab

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