NYU - HHC Clinical and Transitional Science Institute (HHC 5B) PFI: W139Secondary Site ID: 0001Certification Type: WAIVERDirector: Gabrielle Gold-Von Simson, M.D.Phone: (646) 501-2397Fax: (212) 263-5921Address: 550 First Ave - MSB 4th FL RM 4-235, New York, NY 10016County: New YorkCountry: United StatesSingle or Primary Contact: Rosario MedinaContact Phone: (212) 263-6411CLIA #: 33D2111198Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Influenza Ketones Mononucleosis Occult Blood pH Pregnancy Test (Urine) COVID-19 MOLECULAR Saliva Alcohol COVID-19 ANTIBODY Strep A Test Urinalysis 04/01/2028 NYU Langone Brooklyn Clinical Research Center Brooklyn Laboratory PFI: W139Secondary Site ID: 0002Certification Type: WAIVERDirector: Gabrielle Gold-Von Simson, M.D.Phone: (917) 843-3017Fax: (929) 455-9853Address: 159 55th St - Augustana Bldg 2nd Fl, Brooklyn, NY 11220County: KingsCountry: United StatesSingle or Primary Contact: Rosario MedinaContact Phone: (917) 843-3017CLIA #: 33D2111198Tests: COVID-19 ANTIGEN Breath Alcohol Community Screening Drugs of Abuse Glucose Influenza Ketones Mononucleosis Occult Blood pH Pregnancy Test (Urine) COVID-19 MOLECULAR Saliva Alcohol COVID-19 ANTIBODY Strep A Test Urinalysis 04/01/2028 Northern Urgent Medical Care PLLC PFI: W142Secondary Site ID: 0000Certification Type: WAIVERDirector: Patrick P Ko, M.D.Phone: (718) 939-5900Fax: (718) 939-5959Address: 164-18 Northern Blvd, Flushing, NY 11358County: QueensCountry: United StatesSingle or Primary Contact: Irene SeonContact Phone: (718) 939-5900CLIA #: 33D1080794Tests: COVID-19 ANTIGEN Alanine Aminotransferase (ALT) Albumin Alkaline Phosphatase (ALP) Aspartate Aminotransferase (AST) Blood Urea Nitrogen (BUN) Carbon Dioxide Calcium Chloride Community Screening Creatinine Glucose Influenza Potassium Pregnancy Test (Urine) COVID-19 MOLECULAR Sodium Strep A Test Total Bilirubin Total Protein Urinalysis 02/22/2028 North Suffolk Family Medical Care PFI: W144Secondary Site ID: 0000Certification Type: WAIVERDirector: Kevin J Schiller, M.D.Phone: (631) 331-1506Fax: (631) 331-1705Address: 4 Technology Drive - Suite 210, East Setauket, NY 11733County: SuffolkCountry: United StatesSingle or Primary Contact: Isabella ScarpaContact Phone: (631) 297-8889CLIA #: 33D2111200Tests: Glucose Glycosylated Hemoglobin Influenza Protime Strep A Test Urinalysis 04/01/2028 North Coast Internal Medicine PC PFI: W145Secondary Site ID: 0000Certification Type: WAIVERDirector: Charles A Gambino, D.O.Phone: (516) 676-1742Fax: (516) 676-9662Address: 207 Glen Cove Avenue, Sea Cliff, NY 11579County: NassauCountry: United StatesSingle or Primary Contact: Marisa CiprianoContact Phone: (516) 676-1742CLIA #: 33D0945101Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Influenza Occult Blood Strep A Test Urinalysis 02/22/2028 The Grove at Valhalla Rehabilitation and Nursing Center PFI: W146Secondary Site ID: 0000Certification Type: WAIVERDirector: Shashishekhar S Palekar, M.D.Phone: (914) 681-8400Fax: (914) 704-4755Address: 61 Grasslands Road, Valhalla, NY 10595County: WestchesterCountry: United StatesSingle or Primary Contact: Soumya ThomasContact Phone: (914) 681-8400CLIA #: 33D0957739Tests: COVID-19 ANTIGEN Glucose Protime 02/22/2028 Urgent Care Med of New York LLC dba Yale New Haven Health Urgent Care PFI: W148Secondary Site ID: 0000Certification Type: WAIVERDirector: Jeannie M Kenkare, D.O.Phone: (914) 358-9612Fax: (914) 358-9616Address: 80 Rte 6 Suite 704-705, Baldwin Place, NY 10505County: PutnamCountry: United StatesSingle or Primary Contact: Lindsey OlenaskiContact Phone: (959) 356-2106CLIA #: 33D2109138Tests: COVID-19 ANTIGEN Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Chlamydia trachomatis Creatinine Drugs of Abuse Glucose Hemoglobin Influenza Mononucleosis Neisseria gonorrhoeae Occult Blood Potassium Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Sodium Strep A Test Urinalysis 02/19/2028 The Westchester Med Prac PC dba NewYork-Presby Med Grp/Hudson Valley PFI: W151Secondary Site ID: 0000Certification Type: WAIVERDirector: Himani Chandra, M.D.Phone: (914) 930-2007Fax: (914) 930-7330Address: 1985 Crompond Rd - Bldg A, Cortlandt Manor, NY 10567County: WestchesterCountry: United StatesSingle or Primary Contact: Lisa VarianoContact Phone: (914) 739-0087CLIA #: 33D2109143Tests: Glucose Occult Blood Pregnancy Test (Urine) Strep A Test Urinalysis 02/19/2028 Mount Sinai Doctors - Rockville Centre - PET/CT PFI: W153Secondary Site ID: 0000Certification Type: WAIVERDirector: Ari M Steiner, M.D.Phone: (516) 255-9555Fax: (516) 255-9444Address: 485 Merrick Road, Rockville Centre, NY 11570County: NassauCountry: United StatesSingle or Primary Contact: Wilson S DavilaContact Phone: (516) 632-4664CLIA #: 33D2109737Tests: 03/24/2028 Northwell-GoHealth Urgent Care - East Meadow PFI: W156Secondary Site ID: 0000Certification Type: WAIVERDirector: Neal M Shipley, M.D.Phone: (526) 202-2703Fax: (363) 205-0268Address: 1990 Hempstead Tpke - Ste A, East Meadow, NY 11554County: NassauCountry: United StatesSingle or Primary Contact: Aimee DeStefanoContact Phone: (917) 673-1142CLIA #: 33D2347373Tests: COVID-19 ANTIGEN Community Screening Glucose Influenza Ketones Mononucleosis Occult Blood pH Protime Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 08/17/2028 Greene Emergency Squad Inc PFI: W160Secondary Site ID: 0000Certification Type: WAIVERDirector: Martin C Masarech, M.D.Phone: (607) 656-5688Fax: (607) 656-5677Address: 30 Birdsall St, Greene, NY 13778County: ChenangoCountry: United StatesSingle or Primary Contact: Bryan KellerContact Phone: (607) 656-5688CLIA #: 33D2348189Tests: 08/03/2028 Tioga Fire Co No 1 Inc dba Tioga Center Emergency Squad PFI: W161Secondary Site ID: 0000Certification Type: WAIVERDirector: Keith A Nichols, M.D.Phone: (607) 687-4818Fax: Address: 60 Fifth Ave, Tioga Center, NY 13845County: TiogaCountry: United StatesSingle or Primary Contact: David VanDusenContact Phone: (607) 398-4057CLIA #: 33D2348054Tests: 08/10/2028 Inversa Rx Pharmacy LLC PFI: W170Secondary Site ID: 0000Certification Type: WAIVERDirector: Ann S Jailall, Pharm.D.Phone: (929) 717-4415Fax: (929) 717-5168Address: 3545 White Plains Rd, Bronx, NY 10467County: BronxCountry: United StatesSingle or Primary Contact: Haywood HawthorneContact Phone: (914) 346-7024CLIA #: 33D2348056Tests: COVID-19 ANTIGEN Influenza RSV (Respiratory Syncytial Virus) 08/10/2028 CS Medical Associates PC PFI: W171Secondary Site ID: 0000Certification Type: WAIVERDirector: Paolo T Coppola, M.D.Phone: (631) 696-4357Fax: (631) 846-8138Address: 2170 Joshuas Path, Hauppauge, NY 11788County: SuffolkCountry: United StatesSingle or Primary Contact: Tracey WallaceContact Phone: (631) 696-4357CLIA #: 33D2348099Tests: Drugs of Abuse Glucose Influenza HIV, Rapid Strep A Test Urinalysis 08/10/2028 Biblical Nouthetic Ministries Inc PFI: W173Secondary Site ID: 0000Certification Type: WAIVERDirector: Aaron J Masters, N.P.Phone: (716) 217-9970Fax: (716) 707-2020Address: 12109 Old Olean Rd, Yorkshire, NY 14173County: CattaraugusCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2348060Tests: Pregnancy Test (Urine) Urinalysis 08/29/2028 GLPP OBG/YN Fredonia PFI: W175Secondary Site ID: 0000Certification Type: WAIVERDirector: Ashley C Balling, N.P.Phone: (716) 664-8509Fax: (716) 664-8514Address: 12 Center St - Ste 4, Fredonia, NY 14063County: ChautauquaCountry: United StatesSingle or Primary Contact: Stephanie FeneranContact Phone: (716) 664-8508CLIA #: 33D2348096Tests: 08/10/2028 East Meredith Fire Department PFI: W176Secondary Site ID: 0000Certification Type: WAIVERDirector: John Rubin, D.O.Phone: (607) 278-5444Fax: (607) 278-5444Address: 6192 County Hwy 10, East Meredith, NY 13757County: DelawareCountry: United StatesSingle or Primary Contact: Brandon ColandreaContact Phone: (315) 867-6597CLIA #: 33D2348094Tests: 08/10/2028 One Medical with Montefiore PFI: W177Secondary Site ID: 0000Certification Type: WAIVERDirector: Laura Korin, M.D.Phone: (555) 555-5555Fax: (415) 252-7176Address: 667 W Boston Post Rd - Commercial, Mamaroneck, NY 10543County: WestchesterCountry: United StatesSingle or Primary Contact: Laura SchmiessContact Phone: (415) 658-6791CLIA #: 33D2348102Tests: COVID-19 ANTIGEN Blood Lead Drugs of Abuse Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR Strep A Test Urinalysis 08/31/2028 One Medical PFI: W178Secondary Site ID: 0000Certification Type: WAIVERDirector: Ronald S Englert, D.O.Phone: (555) 555-5555Fax: (415) 252-7176Address: 667 W Boston Post Rd - Seniors/Enterprise, Mamaroneck, NY 10543County: WestchesterCountry: United StatesSingle or Primary Contact: Laura SchmiessContact Phone: (415) 658-6791CLIA #: 33D2348115Tests: COVID-19 ANTIGEN Drugs of Abuse Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit COVID-19 MOLECULAR 08/31/2028 Turner Construction 343 Madison Onsite PFI: W180Secondary Site ID: 0000Certification Type: WAIVERDirector: Varun Nagarajan, M.D.Phone: (856) 291-3847Fax: Address: 343 Madison Ave, New York, NY 10017County: New YorkCountry: United StatesSingle or Primary Contact: Cassaundra GreenContact Phone: (717) 601-5075CLIA #: 33D2348118Tests: 08/10/2028