Triborough ASC LLC
PFI: Y709
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mark Gladstein, M.D.
Phone: (747) 239-4040
Fax:
Address: 550 E 180th St, Bronx, NY 10457
County: Bronx
Country: United States
Single or Primary Contact: Victoria Frenkel
Contact Phone: (718) 724-9759
CLIA #: 33D2184417
Tests:
Drugs of Abuse Glucose Pregnancy Test (Urine)
05/27/2026
Trinity Medical OB/GYN Southtowns
PFI: Y711
Secondary Site ID: 0000
Certification Type: PPMP
Director: Sheila M Pieczonka, D.O.
Phone: (716) 862-2546
Fax: (716) 862-2547
Address: 550 Orchard Park Rd - Suite A100, West Seneca, NY 14224
County: Erie
Country: United States
Single or Primary Contact: Rene Strazzella
Contact Phone: (716) 862-2546
CLIA #: 33D2181852
Tests:
Direct Wet Mount Preps Fern Tests Potassium Hydroxide (KOH Preps) pH Pregnancy Test (Urine) Urinalysis
04/13/2026
Van Wyck Dialysis
PFI: Y712
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Dayanand V Huded, M.D.
Phone: (718) 558-4382
Fax: (718) 558-5650
Address: 91-30 Van Wyck Expressway, Jamaica, NY 11418
County: Queens
Country: United States
Single or Primary Contact: Carrie Pence
Contact Phone: (615) 341-6410
CLIA #: 33D2182864
Tests:
04/30/2026
Woodstock Emergency Rescue Squad
PFI: Y713
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Matthew A Stupple, M.D.
Phone: (845) 679-5111
Fax: (845) 679-6335
Address: 226 Tinker St, Woodstock, NY 12498
County: Ulster
Country: United States
Single or Primary Contact: Amy Baker
Contact Phone: (845) 417-6016
CLIA #: 33D2182406
Tests:
04/21/2026
Onondaga Nation Health Center
PFI: Y714
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Karen I Bertrand, M.D.
Phone: (315) 469-6449
Fax: (315) 469-0593
Address: 3267 State Rte 11A, Nedrow, NY 13120
County: Onondaga
Country: United States
Single or Primary Contact: Pam Everingham
Contact Phone: (315) 469-7611
CLIA #: 33D2185240
Tests:
06/05/2026
TideSmart Global at Lowe's
PFI: Y749
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 39 Centre Dr, Plattsburgh, NY 12901
County: Clinton
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188036
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/10/2024
TideSmart Global at Lowe's
PFI: Y750
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 61 County Lane, Potsdam, NY 13676
County: St. Lawrence
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188038
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/11/2024
TideSmart Global at Lowe's
PFI: Y751
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 2001 Ford St Ext, Ogdensburg, NY 13669
County: St. Lawrence
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188039
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/11/2024
TideSmart Global at Lowe's
PFI: Y752
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 20828 NYS Rte 3, Watertown, NY 13601
County: Jefferson
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188041
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/12/2024
TideSmart Global at Lowe's
PFI: Y753
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 445 State Rte 104, Oswego, NY 13126
County: Oswego
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188042
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/12/2024
TideSmart Global at Lowe's
PFI: Y754
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 1230 Erie Blvd - West, Rome, NY 13440
County: Oneida
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188043
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/13/2024
TideSmart Global at Lowe's
PFI: Y755
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 710 Horatio St, Utica, NY 13502
County: Oneida
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188044
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/13/2024
TideSmart Global at Lowe's
PFI: Y756
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 182 Lowe's Blvd, Herkimer, NY 13350
County: Herkimer
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188045
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/14/2024
TideSmart Global at Lowe's
PFI: Y757
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 4699 Middle Settlement Rd, New Hartford, NY 13413
County: Oneida
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188046
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/14/2024
TideSmart Global at Lowe's
PFI: Y758
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 131 Simon Dr, Syracuse, NY 13224
County: Onondaga
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188048
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/17/2024
TideSmart Global at Lowe's
PFI: Y759
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 1200 Lowe's Dr, Oneida, NY 13421
County: Madison
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188049
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/17/2024
TideSmart Global at Lowe's
PFI: Y760
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 5701 E Circle Dr, Cicero, NY 13039
County: Onondaga
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188050
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/18/2024
TideSmart Global at Lowe's
PFI: Y761
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 3856 State Rte 31, Liverpool, NY 13090
County: Onondaga
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188051
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/18/2024
TideSmart Global at Lowe's
PFI: Y762
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 5377 W Genesee St, Camillus, NY 13031
County: Onondaga
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188052
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/19/2024
TideSmart Global at Lowe's
PFI: Y763
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chandra Matadeen-Ali, M.D.
Phone: (207) 828-4700
Fax: (207) 828-4704
Address: 299 Grant Ave, Auburn, NY 13021
County: Cayuga
Country: United States
Single or Primary Contact: Nikki Oliver, Ph.D.
Contact Phone: (207) 828-4700
CLIA #: 33D2188053
Tests:
Cholesterol Glucose HDL Cholesterol LDL Cholesterol Triglycerides
08/19/2024