CASA Trinity OP PFI: H328Secondary Site ID: 0001Certification Type: WAIVERDirector: Murtaza Ali, D.O.Phone: (585) 335-5052Fax: (585) 335-5061Address: 45 Maple St, Dansville, NY 14437County: LivingstonCountry: United StatesSingle or Primary Contact: Trisha CareyContact Phone: (585) 335-5052CLIA #: 33D2327388Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Ethanol Pregnancy Test (Urine) 07/23/2027 Westons Manor PFI: H328Secondary Site ID: 0009Certification Type: WAIVERDirector: Murtaza Ali, D.O.Phone: (716) 373-0057Fax: (716) 373-7910Address: 1351 Olean Portville Rd, Weston Mills, NY 14788County: CattaraugusCountry: United StatesSingle or Primary Contact: Trisha CareyContact Phone: (716) 373-0021CLIA #: 33D2327388Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Ethanol Pregnancy Test (Urine) 07/23/2027 CASA Trinity Outpatient Substance Use Treatment PFI: H328Secondary Site ID: 0008Certification Type: WAIVERDirector: Murtaza Ali, D.O.Phone: (716) 945-1928Fax: (716) 945-8571Address: 4039 Rte 219, Salamanca, NY 14779County: CattaraugusCountry: United StatesSingle or Primary Contact: Trisha CareyContact Phone: (585) 335-5052CLIA #: 33D2327388Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Ethanol Pregnancy Test (Urine) 07/23/2027 CASA Trinity Inc PFI: H328Secondary Site ID: 0000Certification Type: WAIVERDirector: Murtaza Ali, D.O.Phone: (585) 443-2018Fax: (585) 991-5013Address: 4612 Millennium Dr, Geneseo, NY 14454County: LivingstonCountry: United StatesSingle or Primary Contact: Trisha CareyContact Phone: (585) 335-5052CLIA #: 33D2327388Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Ethanol Pregnancy Test (Urine) 07/23/2027 Catholic Health Ambulatory and Urgent Care at Melville PFI: H329Secondary Site ID: 0000Certification Type: WAIVERDirector: Gary J Moskowitz, D.O.Phone: (631) 483-5600Fax: (631) 390-1891Address: 610 Broadhollow Rd, Melville, NY 11747County: SuffolkCountry: United StatesSingle or Primary Contact: Liana RovedaContact Phone: (631) 942-8618CLIA #: 33D2329145Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) Strep A Test Urinalysis 08/29/2027 Concerto Care Medical Group of New York PC PFI: H331Secondary Site ID: 0000Certification Type: WAIVERDirector: Ju H Joh, M.D.Phone: (917) 336-1231Fax: (716) 202-8410Address: 35-01 36th Ave - 5th Fl, Astoria, NY 11106County: QueensCountry: United StatesSingle or Primary Contact: Christi DiBernardoContact Phone: (949) 292-6258CLIA #: 33D2328562Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Influenza Urinalysis 08/13/2027 DJ Purcell MD PC PFI: H332Secondary Site ID: 0000Certification Type: WAIVERDirector: Daniel J Purcell, M.D.Phone: (845) 573-2273Fax: (845) 573-2323Address: 252 Main St, Beacon, NY 12508County: DutchessCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2327822Tests: COVID-19 ANTIGEN Community Screening Glucose Hemoglobin Influenza Mononucleosis Pregnancy Test (Urine) RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 07/30/2027 Lenox Hill Radiology and Medical Imaging Associates PC PFI: H333Secondary Site ID: 0000Certification Type: WAIVERDirector: Evan M Kaminer, M.D.Phone: (845) 634-9729Fax: (845) 634-9018Address: 18 Squadron Blvd, New City, NY 10956County: New YorkCountry: United StatesSingle or Primary Contact: Joely FiskeContact Phone: (973) 689-5761CLIA #: 33D0142000Tests: Blood Urea Nitrogen (BUN) Creatinine Glucose 08/06/2027 NYU Langone Ambulatory Care Commack PFI: H334Secondary Site ID: 0000Certification Type: WAIVERDirector: Raman K Bhasin, M.D.Phone: (631) 909-6262Fax: (929) 455-9597Address: 167 Veterans Memorial Hwy, Commack, NY 11725County: SuffolkCountry: United StatesSingle or Primary Contact: Margaret BrinleyContact Phone: (929) 837-8406CLIA #: 33D2327391Tests: COVID-19 ANTIGEN Glucose Glycosylated Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/01/2027 Rome Center LLC The Grand Rehabilitation and Nursing at Rome PFI: H335Secondary Site ID: 0000Certification Type: WAIVERDirector: Martin A Grossman, M.D.Phone: (315) 533-1600Fax: (315) 337-7359Address: 801 N James St, Rome, NY 13440County: OneidaCountry: United StatesSingle or Primary Contact: Ashlee PenreeContact Phone: (315) 525-3828CLIA #: 33D2327392Tests: 07/28/2027 Sorin Ambulatory LLC PFI: H336Secondary Site ID: 0000Certification Type: WAIVERDirector: Justin A Ratcliffe, M.D.Phone: (718) 266-0900Fax: (718) 266-1426Address: 120 Wall St - Suite 175, New York, NY 10005County: New YorkCountry: United StatesSingle or Primary Contact: Julia DrobotyContact Phone: (718) 266-0900CLIA #: 33D2327394Tests: COVID-19 ANTIGEN Glucose Pregnancy Test (Urine) 07/28/2027 South New Berlin Rescue Squad PFI: H337Secondary Site ID: 0000Certification Type: WAIVERDirector: Scott Cohen, M.D.Phone: (607) 859-2400Fax: Address: 3519 State Hwy 8, South New Berlin, NY 13843County: ChenangoCountry: United StatesSingle or Primary Contact: Chris VanderweydeContact Phone: (631) 977-9443CLIA #: 33D2327395Tests: 07/28/2027 Village Pharmacy of Syosset PFI: H338Secondary Site ID: 0000Certification Type: WAIVERDirector: Yasir M Chaudhary, Pharm.D.Phone: (516) 921-0880Fax: (516) 921-7975Address: 38 Cold Spring Rd, Syosset, NY 11944County: NassauCountry: United StatesSingle or Primary Contact: Contact Phone: CLIA #: 33D2328236Tests: COVID-19 ANTIGEN Community Screening Influenza COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) COVID-19 ANTIBODY Strep A Test 08/15/2027 Walsh Ambulatory Pavilion Laboratory PFI: H339Secondary Site ID: 0000Certification Type: WAIVERDirector: Sadaf S Sheikh, M.D.Phone: (718) 869-7099Fax: (347) 246-7482Address: 19-20 Brookhaven Ave, Far Rockaway, NY 11691County: QueensCountry: United StatesSingle or Primary Contact: Errol McKenzieContact Phone: (718) 869-7335CLIA #: 33D2327397Tests: Glucose Pregnancy Test (Urine) 08/01/2027 Oswego County Ambulance Service PFI: H340Secondary Site ID: 0000Certification Type: WAIVERDirector: James F. Mangano, M.D.Phone: (315) 592-4145Fax: Address: 6 Ohio St, Oswego, NY 13126County: OswegoCountry: United StatesSingle or Primary Contact: John MedicoContact Phone: (315) 592-4145CLIA #: 33D2333584Tests: COVID-19 ANTIGEN Community Screening Glucose Influenza COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) 12/02/2027 Oswego County Ambulance Service PFI: H341Secondary Site ID: 0000Certification Type: WAIVERDirector: James F. Mangano, M.D.Phone: (315) 592-4145Fax: Address: 8 Gertrude Dr, Central Square, NY 13036County: OswegoCountry: United StatesSingle or Primary Contact: John MedicoContact Phone: (315) 592-4145CLIA #: 33D2333582Tests: COVID-19 ANTIGEN Community Screening Glucose Influenza COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) 12/02/2027 WellNow Urgent Care PC dba WellNow Urgent Care PFI: H342Secondary Site ID: 0000Certification Type: WAIVERDirector: Robert M Biernbaum, D.O.Phone: (315) 792-3094Fax: Address: 1600 Burrstone Rd, Utica, NY 13502County: OneidaCountry: United StatesSingle or Primary Contact: Sherri GainesContact Phone: (315) 569-0989CLIA #: 33D2328245Tests: COVID-19 ANTIGEN Glucose Influenza Mononucleosis Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Strep A Test Syphilis Antibodies Urinalysis 08/20/2027 Prospect Elementary School PFI: H343Secondary Site ID: 0001Certification Type: WAIVERDirector: Ann Marie Zimmermann, M.D.Phone: (716) 945-5170Fax: (716) 945-2374Address: 300 Prospect Ave, Salamanca, NY 14779County: CattaraugusCountry: United StatesSingle or Primary Contact: Kimberly McLarneyContact Phone: 71694551707102CLIA #: 33D2327424Tests: Glucose Influenza Ketones Strep A Test Urinalysis 07/28/2027 Salamanca City Central School District PFI: H343Secondary Site ID: 0000Certification Type: WAIVERDirector: Ann Marie Zimmermann, M.D.Phone: (716) 945-2400Fax: (716) 217-6348Address: 50 Iroquois Dr, Salamanca, NY 14779County: CattaraugusCountry: United StatesSingle or Primary Contact: Kimberly McLarneyContact Phone: (716) 945-2400CLIA #: 33D2327424Tests: Glucose Influenza Ketones Strep A Test Urinalysis 07/28/2027 Tender Loving Care Hlth Care Svcs of Erie Niagara LLC dba Amed HH Care PFI: H344Secondary Site ID: 0000Certification Type: WAIVERDirector: Michael H Kueker, M.D.Phone: (716) 632-6420Fax: (716) 633-7642Address: 400 Essjay Rd - Ste 110, Williamsville, NY 14221County: ErieCountry: United StatesSingle or Primary Contact: Patricia GoffContact Phone: (225) 299-3701CLIA #: 33D2330060Tests: Community Screening Glucose Protime COVID-19 ANTIBODY 09/10/2027