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Maimonides Div of Urology

PFI: H423
Secondary Site ID: 0001
Certification Type: WAIVER
Director: Allison R Polland, M.D.
Phone: (718) 283-7770
Fax: (718) 635-6748
Address: 2275 Coleman St, Brooklyn, NY 11234
County: Kings
Country: United States
Single or Primary Contact: Robert Mema
Contact Phone: (718) 283-7770
CLIA #: 33D2332331

Tests:

  • Urinalysis
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Maimonides Div of Urology

PFI: H423
Secondary Site ID: 0002
Certification Type: WAIVER
Director: Allison R Polland, M.D.
Phone: (718) 283-7770
Fax: (718) 635-6748
Address: 338 Court St, Brooklyn, NY 11231
County: Kings
Country: United States
Single or Primary Contact: Robert Mema
Contact Phone: (718) 283-7770
CLIA #: 33D2332331

Tests:

  • Urinalysis
Print

Maimonides Div of Urology

PFI: H423
Secondary Site ID: 0003
Certification Type: WAIVER
Director: Allison R Polland, M.D.
Phone: (718) 283-7770
Fax: (718) 635-6748
Address: 547 Vanderbilt Ave, Brooklyn, NY 11238
County: Kings
Country: United States
Single or Primary Contact: Robert Mema
Contact Phone: (718) 283-7770
CLIA #: 33D2332331

Tests:

  • Urinalysis
Print

Maimonides Div of Urology

PFI: H423
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Allison R Polland, M.D.
Phone: (718) 283-7770
Fax: (718) 635-6748
Address: 745 64th St - 4th Fl, Brooklyn, NY 11220
County: Kings
Country: United States
Single or Primary Contact: Robert Mema
Contact Phone: (718) 283-7770
CLIA #: 33D2332331

Tests:

  • Urinalysis
Print

Massena Rehabilitation and Nursing Center

PFI: H424
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Sarika N Shah-Sekhon, M.D.
Phone: (315) 769-2494
Fax: (315) 769-3604
Address: 89 Grove St, Massena, NY 13662
County: St. Lawrence
Country: United States
Single or Primary Contact: Michelle L Garrity
Contact Phone: (315) 769-2494
CLIA #: 33D2331945

Tests:

  • COVID-19 ANTIGEN
  • Glucose
  • Occult Blood
Print

Advent Health Care Services LLC

PFI: H425
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Shyan I Jagdeo, N.P.
Phone: 718289000
Fax: (718) 289-0001
Address: 419 Church Ave, Brooklyn, NY 11218
County: Kings
Country: United States
Single or Primary Contact: Reva Dvorkes
Contact Phone: (718) 387-1800
CLIA #: 33D2332434

Tests:

  • Glucose
Print

Bethel Volunteer Ambulance Corps Inc

PFI: H427
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Nicki E Maxwell, M.D.
Phone: (845) 583-5004
Fax: (845) 747-3177
Address: 3452 State Rte 55, White Lake, NY 12786
County: Sullivan
Country: United States
Single or Primary Contact: Tony Carlucci
Contact Phone: (845) 807-9035
CLIA #: 33D2332435

Tests:

  • Glucose
Print

Elevate Point LLC

PFI: H428
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Joseph Nissenfeld, M.D.
Phone: (212) 285-2022
Fax: (212) 285-2033
Address: 203 Jay St - 2nd Fl, Brooklyn, NY 11210
County: Kings
Country: United States
Single or Primary Contact: Eric Gottlieb
Contact Phone: (212) 285-2022
CLIA #: 33D2332436

Tests:

  • Breath Alcohol
  • Drugs of Abuse
  • Pregnancy Test (Urine)
  • HCV, Rapid
  • HIV, Rapid
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Alison C Madden MD

PFI: H430
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Alison C Madden, M.D.
Phone: (934) 213-5435
Fax: (934) 213-5436
Address: 10095 Main Rd - Suite B, Mattituck, NY 11952
County: Suffolk
Country: United States
Single or Primary Contact: Isabella Scarpa
Contact Phone: (631) 297-8889
CLIA #: 33D2332439

Tests:

  • Pregnancy Test (Urine)
  • Urinalysis
Print

Touchcare Reg Prof Nurse + NP in Fam Hlth PLLC dba Samecare Hlth Svcs

PFI: H434
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chinyere A Nebo, N.P.
Phone: (516) 881-6718
Fax: (516) 748-8748
Address: 9043 Springfield Blvd, Queens Village, NY 11428
County: Queens
Country: United States
Single or Primary Contact: Edmund Nebo
Contact Phone: (917) 940-1980
CLIA #: 33D2332643

Tests:

  • Community Screening
  • Glucose
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Strep A Test
  • Urinalysis
Print

Vol Heart Resus Unit and Ambul Corps of SI Inc dba Vol Heart Ambulance

PFI: H435
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Miguel A Tirado, M.D.
Phone: (718) 979-5850
Fax:
Address: 460 Brielle Ave - Surgical Pavillio, Staten Island, NY 10314
County: Richmond
Country: United States
Single or Primary Contact: Christopher Guadalupe
Contact Phone: (718) 979-5850
CLIA #: 33D2332431

Tests:

  • Glucose
Print

UR Medicine Primary Care - Marion

PFI: H437
Secondary Site ID: 0000
Certification Type: PPMP
Director: Theresa Martin, M.D.
Phone: (315) 926-7733
Fax: (315) 926-0731
Address: 3669 Countryside Lane, Marion, NY 14505
County: Wayne
Country: United States
Single or Primary Contact: Staci Evenhouse
Contact Phone: (585) 275-0229
CLIA #: 33D2332332

Tests:

  • Blood Lead
  • Direct Wet Mount Preps
  • Glucose
  • Hemoglobin
  • Potassium Hydroxide (KOH Preps)
  • Pregnancy Test (Urine)
  • Strep A Test
  • Urinalysis
Print

The Nottingham Residential Healthcare Facility

PFI: H438
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Reshma Modi, D.O.
Phone: (315) 446-0123
Fax: (315) 449-2304
Address: 1305 Nottingham Rd, Jamesville, NY 13078
County: Onondaga
Country: United States
Single or Primary Contact: Lisa Comeav
Contact Phone: (315) 413-3197
CLIA #: 33D2332440

Tests:

  • COVID-19 ANTIGEN
  • Influenza
  • Occult Blood
Print

Memory Care at the Glen at Hiland Meadows

PFI: H439
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Michael K Burke, M.D.
Phone: (518) 832-7807
Fax: (518) 832-7898
Address: 48 Longview Dr, Queensbury, NY 12804
County: Warren
Country: United States
Single or Primary Contact: Richelle Ives-Archard
Contact Phone: (518) 832-7807
CLIA #: 33D2332441

Tests:

  • COVID-19 ANTIGEN
  • Glucose
Print

Carthage Cancer Treatment Center

PFI: H440
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Daniel G Kyung, M.D.
Phone: (315) 493-0434
Fax: (315) 519-5699
Address: 3 Bridge St - Ste 1, Carthage, NY 13619
County: Jefferson
Country: United States
Single or Primary Contact: Jessica Morley
Contact Phone: (315) 713-6210
CLIA #: 33D2332647

Tests:

  • Glucose
  • Hemoglobin
Print

Town of Camden Ambulance Service

PFI: H441
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Kirby P Black, M.D.
Phone: (315) 245-2180
Fax:
Address: 14 Church St, Camden, NY 13316
County: Oneida
Country: United States
Single or Primary Contact: Donna Campbell
Contact Phone: (315) 335-5830
CLIA #: 33D2332740

Tests:

  • Glucose
Print

Volunteer Fire Company of Vernon Inc

PFI: H442
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Andrew M Wight, M.D.
Phone: (315) 829-3475
Fax:
Address: 5233 W Seneca St, Vernon, NY 13476
County: Oneida
Country: United States
Single or Primary Contact: Scott Nell
Contact Phone: (315) 723-9665
CLIA #: 33D2333064

Tests:

  • Glucose
Print

Maxillofacial Ambulatory Surgery Center LLC

PFI: H444
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Lynn K Pierri, D.D.S.
Phone: (631) 406-9191
Fax: (631) 406-9195
Address: 400 Townline Rd - Ste 140, Hauppauge, NY 11788
County: Suffolk
Country: United States
Single or Primary Contact:
Contact Phone:
CLIA #: 33D2332742

Tests:

  • Glucose
  • Pregnancy Test (Urine)
Print

New Windsor Family Care

PFI: H445
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Ariel Y Pedoeem, D.O.
Phone: (845) 562-2192
Fax: (845) 913-7172
Address: 448 Temple Hill Rd, New Windsor, NY 12553
County: Orange
Country: United States
Single or Primary Contact: Rivka Pedoeem
Contact Phone: (917) 444-0809
CLIA #: 33D2332909

Tests:

  • COVID-19 ANTIGEN
  • Blood Lead
  • Cholesterol
  • HDL Cholesterol
  • Hemoglobin
  • Influenza
  • LDL Cholesterol
  • Pregnancy Test (Urine)
  • COVID-19 MOLECULAR
  • HIV, Rapid
  • RSV (Respiratory Syncytial Virus)
  • COVID-19 ANTIBODY
  • Strep A Test
  • Urinalysis
Print

Richmond University Medical Center Family Health Center

PFI: H454
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Svetoslav S. Bardarov, M.D.
Phone: (718) 818-2107
Fax: (718) 818-1666
Address: 2655 Richmond Ave, Staten Island, NY 10314
County: Richmond
Country: United States
Single or Primary Contact: Ann Marie Brown
Contact Phone: (718) 818-3061
CLIA #: 33D2333395

Tests:

  • Glucose
  • Glycosylated Hemoglobin
  • Influenza
  • Pregnancy Test (Urine)
  • COVID-19 MOLECULAR
  • RSV (Respiratory Syncytial Virus)
  • Strep A Test
  • Urinalysis
Print

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