Adult Medicine PFI: W092Secondary Site ID: 0000Certification Type: WAIVERDirector: Arielle A Elmah-Sachs, M.D.Phone: (718) 630-6830Fax: (718) 630-7857Address: 150 55th Street, Brooklyn, NY 11220County: KingsCountry: United StatesSingle or Primary Contact: Anne Marie SabellaContact Phone: (718) 630-6830CLIA #: 33D2106721Tests: Community Screening Glucose Glycosylated Hemoglobin Occult Blood Protime Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 01/04/2028 Borough Park Dialysis PFI: W095Secondary Site ID: 0000Certification Type: WAIVERDirector: Sheldon Greenberg, M.D.Phone: (718) 435-2112Fax: (718) 435-0354Address: 4102 13th Avenue, Brooklyn, NY 11219-1333County: KingsCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2106883Tests: 02/01/2028 NYU Clinical Cancer Center - Columbus PFI: W097Secondary Site ID: 0000Certification Type: FULL/WAIVERDirector: Dan Chen, Ph.D.Phone: (718) 261-8686Fax: (212) 731-5537Address: 97-77 Queens Blvd, Rego Park, NY 11374County: QueensCountry: United StatesSingle or Primary Contact: Chintaman RamContact Phone: (212) 263-5469CLIA #: 33D2045455Tests: Creatinine Glucose Pregnancy Test (Urine) 02/01/2028 Freedom Center of Syosset PFI: W098Secondary Site ID: 0000Certification Type: WAIVERDirector: Mohsen Pahlavan, M.D.Phone: (516) 827-1370Fax: (516) 827-1377Address: 760 South Broadway, Hicksville, NY 11801County: NassauCountry: United StatesSingle or Primary Contact: Jorge DavidContact Phone: (516) 827-1370CLIA #: 33D2107722Tests: 02/01/2028 Dennis S Charney MD Depression and Anxiety Discovery Center PFI: W100Secondary Site ID: 0000Certification Type: WAIVERDirector: James W Murrough, M.D.Phone: (212) 241-6539Fax: (212) 241-3354Address: 100 E 104th Street, 2nd Floor, New York, NY 10029County: New YorkCountry: United StatesSingle or Primary Contact: Matthew DobbsContact Phone: (347) 341-0460CLIA #: 33D2106904Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) Urinalysis 02/01/2028 Ophthalmology Associates of Bay Ridge PFI: W101Secondary Site ID: 0000Certification Type: WAIVERDirector: Elias T Aliprandis, M.D.Phone: (718) 680-1500Fax: (718) 680-2464Address: 8721 4th Avenue, Brooklyn, NY 11209County: KingsCountry: United StatesSingle or Primary Contact: Linda ButtaroContact Phone: (718) 680-2445CLIA #: 33D2058945Tests: Matrix metalloproteinases-9 (MMP-9) 02/01/2028 St Francis Cardiovascular Physicians PC PFI: W103Secondary Site ID: 0000Certification Type: WAIVERDirector: Anil Sangwan, M.D.Phone: (631) 642-7699Fax: (631) 928-2002Address: 116 Terryville Road, Port Jefferson Sta, NY 11776County: SuffolkCountry: United StatesSingle or Primary Contact: Jessica MontamboContact Phone: (631) 678-6806CLIA #: 33D0995834Tests: COVID-19 ANTIGEN Glycosylated Hemoglobin Influenza Microalbumin Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 02/01/2028 Stony Brook Ophthalmology PFI: W109Secondary Site ID: 0000Certification Type: WAIVERDirector: Robert A Honkanen, M.D.Phone: (631) 444-4090Fax: (631) 444-4089Address: 33 Research Way, East Setauket, NY 11733County: SuffolkCountry: United StatesSingle or Primary Contact: Julie BrowneContact Phone: (631) 444-4092CLIA #: 33D2106718Tests: 01/25/2028 Stony Brook Opthalmology PFI: W109Secondary Site ID: 0001Certification Type: WAIVERDirector: Robert A Honkanen, M.D.Phone: (631) 638-3457Fax: (631) 638-8362Address: 500 Commack Rd - Suite 108, Commack, NY 11725County: SuffolkCountry: United StatesSingle or Primary Contact: Julie BrowneContact Phone: (631) 638-3457CLIA #: 33D2106718Tests: 01/25/2028 Stony Brook Ophthalmology PFI: W109Secondary Site ID: 0002Certification Type: WAIVERDirector: Robert A Honkanen, M.D.Phone: (934) 213-4442Fax: (631) 638-8362Address: 67 Hampton Rd, Southampton, NY 11968County: SuffolkCountry: United StatesSingle or Primary Contact: Julie BrowneContact Phone: (631) 444-4092CLIA #: 33D2106718Tests: 01/25/2028 Great Neck Medical Services PFI: W114Secondary Site ID: 0000Certification Type: WAIVERDirector: Deborah Marciano, M.D.Phone: (516) 439-5075Fax: (516) 439-5074Address: 770 Middle Neck Rd - Suite P2, Great Neck, NY 11024County: NassauCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2108439Tests: Pregnancy Test (Urine) Strep A Test 02/05/2026 Tivoli Fire Department, Village of PFI: W116Secondary Site ID: 0000Certification Type: WAIVERDirector: Paige M Reinfeld, D.O.Phone: (845) 757-4445Fax: (845) 757-5416Address: 2 Tivoli Commons, Tivoli, NY 12583County: DutchessCountry: United StatesSingle or Primary Contact: Cheryl HilbrandtContact Phone: (845) 758-4102CLIA #: 33D2109148Tests: 02/22/2028 Wyckoff Doctor PFI: W117Secondary Site ID: 0000Certification Type: WAIVERDirector: Gianna Ballon, M.D.Phone: (718) 907-4301Fax: Address: 1419 Myrtle Ave, Brooklyn, NY 11237County: KingsCountry: United StatesSingle or Primary Contact: Alexandra ZubokContact Phone: (718) 963-7519CLIA #: 33D2108443Tests: Community Screening Glucose Glycosylated Hemoglobin Influenza Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 02/05/2028 Mount Sinai Doctors Faculty Practice PFI: W118Secondary Site ID: 0000Certification Type: WAIVERDirector: Theresa A Mack, M.D.Phone: (212) 523-8672Fax: (212) 636-3000Address: 2771 Frederick Douglas Blvd, New York, NY 10039County: New YorkCountry: United StatesSingle or Primary Contact: Tameca MckenzieContact Phone: (212) 636-3141CLIA #: 33D2114006Tests: COVID-19 ANTIGEN Cholesterol Community Screening Glucose Glycosylated Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) Trichomonas, Rapid HIV, Rapid Strep A Test Urinalysis 05/09/2028 Mount Sinai School of Medicine Faculty Practice Associates PFI: W119Secondary Site ID: 0000Certification Type: PPMPDirector: Bruce E. Petersen, M.D.Phone: (212) 731-3204Fax: Address: 234 E 85th St, New York, NY 10028County: New YorkCountry: United StatesSingle or Primary Contact: Denise RamosContact Phone: (347) 839-0947CLIA #: 33D2111232Tests: Blood Lead Fern Tests Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 04/01/2028 Mount Sinai Associates in Internal Medicine PFI: W119Secondary Site ID: 0001Certification Type: PPMPDirector: Bruce E. Petersen, M.D.Phone: (212) 426-0190Fax: (212) 426-4260Address: 241 E 86th St, New York, NY 10128County: New YorkCountry: United StatesSingle or Primary Contact: Denise RamosContact Phone: (347) 839-0947CLIA #: 33D2111232Tests: Blood Lead Fern Tests Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 04/01/2028 Segulah PFI: W120Secondary Site ID: 0002Certification Type: PPMPDirector: Emmanuel Valery, M.D.Phone: (718) 972-7432Fax: (718) 972-1661Address: 5511 New Utrecht Ave, Brooklyn, NY 11225County: KingsCountry: United StatesSingle or Primary Contact: Vivian ElbazContact Phone: (718) 246-5700CLIA #: 33D2110595Tests: COVID-19 ANTIGEN Blood Lead Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 03/24/2028 LaSante Health Center PFI: W120Secondary Site ID: 0001Certification Type: PPMPDirector: Emmanuel Valery, M.D.Phone: (718) 246-5700Fax: (718) 889-7132Address: 646 Parkside Ave, Brooklyn, NY 11226County: KingsCountry: United StatesSingle or Primary Contact: Vivian ElbazContact Phone: (718) 246-5700CLIA #: 33D2110595Tests: COVID-19 ANTIGEN Blood Lead Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 03/28/2028 LaSante Health Center PFI: W120Secondary Site ID: 0003Certification Type: PPMPDirector: Emmanuel Valery, M.D.Phone: 71872465700Fax: (718) 889-7132Address: 69 Brookside Ave, Chester, NY 10918County: OrangeCountry: United StatesSingle or Primary Contact: Vivian ElbazContact Phone: (718) 246-5700CLIA #: 33D2110595Tests: COVID-19 ANTIGEN Blood Lead Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 03/24/2028 Lasante Health Center PFI: W120Secondary Site ID: 0000Certification Type: PPMPDirector: Emmanuel Valery, M.D.Phone: (718) 246-5700Fax: (718) 889-7132Address: 672 Parkside Ave - 2nd Fl, Brooklyn, NY 11226County: KingsCountry: United StatesSingle or Primary Contact: Vivian ElbazContact Phone: (718) 246-5700CLIA #: 33D2110595Tests: COVID-19 ANTIGEN Blood Lead Community Screening Direct Wet Mount Preps Glucose Glycosylated Hemoglobin Influenza Occult Blood Pregnancy Test (Urine) HIV, Rapid Strep A Test Urinalysis 03/24/2028