POB Surgery Center PFI: L912Secondary Site ID: 0000Certification Type: WAIVERDirector: Rachel C. Elder, M.D.Phone: (315) 470-7998Fax: (315) 470-7265Address: 725 Irving Ave, Syracuse, NY 13210County: OnondagaCountry: United StatesSingle or Primary Contact: Jodi LippkeContact Phone: (315) 470-7239CLIA #: 33D0930800Tests: 03/16/2027 Commonwealth Place PFI: L912Secondary Site ID: 0004Certification Type: WAIVERDirector: Rachel C. Elder, M.D.Phone: (315) 434-2470Fax: (315) 470-2806Address: 6010 E Molloy Rd, Syracuse, NY 13211County: OnondagaCountry: United StatesSingle or Primary Contact: Jodi LippkeContact Phone: (315) 470-7239CLIA #: 33D0930800Tests: 03/16/2027 Crouse Health Addiction Treatment Services PFI: L912Secondary Site ID: 0003Certification Type: WAIVERDirector: Rachel C. Elder, M.D.Phone: (315) 470-8302Fax: (315) 470-8309Address: 2775 Erie Blvd East, Syracuse, NY 13224County: OnondagaCountry: United StatesSingle or Primary Contact: Jodi LippkeContact Phone: (315) 470-7239CLIA #: 33D0930800Tests: 03/16/2027 Crouse Health Wound and Hyperbaric Therapy Center PFI: L912Secondary Site ID: 0005Certification Type: WAIVERDirector: Rachel C. Elder, M.D.Phone: (315) 470-7913Fax: (315) 470-5955Address: 739 Irving Ave - Suite 100, Syracuse, NY 13210County: OnondagaCountry: United StatesSingle or Primary Contact: Jodi LippkeContact Phone: (315) 470-7913CLIA #: 33D0930800Tests: 03/16/2027 Grandell Rehabilitation and Nursing Center Inc PFI: L924Secondary Site ID: 0000Certification Type: WAIVERDirector: Farid Shahkoohi, M.D.Phone: (516) 889-1100Fax: (516) 431-0398Address: 645 W Broadway, Long Beach, NY 11561-2902County: NassauCountry: United StatesSingle or Primary Contact: Neil EisikowitzContact Phone: (516) 889-1100CLIA #: 33D0154203Tests: COVID-19 ANTIGEN Glucose Influenza 03/01/2027 Naomi Berrie Diabetes Center at Columbia Presbyterian PFI: L938Secondary Site ID: 0000Certification Type: WAIVERDirector: Robin Goland, M.D.Phone: (212) 851-5492Fax: (212) 851-5493Address: 1150 St Nicholas Ave - 2nd Fl, New York, NY 10032County: New YorkCountry: United StatesSingle or Primary Contact: Dr. Jacueline LonierContact Phone: (212) 851-5492CLIA #: 33D0952205Tests: Glucose Glycosylated Hemoglobin Microalbumin Pregnancy Test (Urine) 11/01/2026 SCO Family of Services - RTF PFI: L945Secondary Site ID: 0000Certification Type: WAIVERDirector: Cristina M Musat, M.D.Phone: (718) 674-8001Fax: (718) 425-8973Address: 85-70 148th St, Jamaica, NY 11435County: QueensCountry: United StatesSingle or Primary Contact: Crystal BlakeContact Phone: (718) 674-8480CLIA #: 33D0953398Tests: COVID-19 ANTIGEN Glucose Pregnancy Test (Urine) 04/07/2027 SCO Family of Services PFI: L946Secondary Site ID: 0000Certification Type: WAIVERDirector: Yelitza Seoane, M.D.Phone: (631) 213-0177Fax: (631) 643-8812Address: 151 Burrs Lane, Dix Hills, NY 11746-9020County: SuffolkCountry: United StatesSingle or Primary Contact: Alison CritelliContact Phone: (631) 213-0177CLIA #: 33D0953401Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Hematocrit Influenza Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 01/13/2026 Morning Star Community PFI: L946Secondary Site ID: 0007Certification Type: WAIVERDirector: Yelitza Seoane, M.D.Phone: (631) 213-0203Fax: Address: 151 Burrs Lane, Dix Hills, NY 11746County: SuffolkCountry: United StatesSingle or Primary Contact: Alison CritelliContact Phone: (631) 213-0270CLIA #: 33D0953401Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Hematocrit Influenza Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 01/13/2026 Madona Heights Clinic PFI: L946Secondary Site ID: 0006Certification Type: WAIVERDirector: Yelitza Seoane, M.D.Phone: (631) 213-0300Fax: (631) 253-3483Address: 151 Burrs Lane, Dix Hills, NY 11746County: SuffolkCountry: United StatesSingle or Primary Contact: Alison CritelliContact Phone: (718) 674-7650CLIA #: 33D0953401Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Hematocrit Influenza Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 01/13/2026 SCO Family of Services - Deer Park PFI: L946Secondary Site ID: 0005Certification Type: WAIVERDirector: Yelitza Seoane, M.D.Phone: (631) 639-3600Fax: Address: 60 E Industry Ct, Deer Park, NY 11729County: SuffolkCountry: United StatesSingle or Primary Contact: Alison CritelliContact Phone: (718) 674-7650CLIA #: 33D0953401Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Hematocrit Influenza Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 01/13/2026 SCO Family of Services - Sea Cliff PFI: L946Secondary Site ID: 0003Certification Type: WAIVERDirector: Yelitza Seoane, M.D.Phone: (516) 671-1111Fax: (516) 609-0822Address: 101 Downing Ave, Sea Cliff, NY 11579County: NassauCountry: United StatesSingle or Primary Contact: Alison CritelliContact Phone: (718) 312-6715CLIA #: 33D0953401Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Hematocrit Influenza Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 01/13/2026 SCO Family of Services - Genovese PFI: L946Secondary Site ID: 0004Certification Type: WAIVERDirector: Yelitza Seoane, M.D.Phone: (718) 526-7533Fax: (718) 425-8927Address: 89-30 161st St, Jamaica, NY 11432County: QueensCountry: United StatesSingle or Primary Contact: Alison CritelliContact Phone: (718) 674-7650CLIA #: 33D0953401Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Hematocrit Influenza Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 01/13/2026 SCO Clinic PFI: L946Secondary Site ID: 0001Certification Type: WAIVERDirector: Yelitza Seoane, M.D.Phone: (631) 253-3480Fax: (631) 253-3483Address: 151 Burns Lane, Dix Hills, NY 11746County: SuffolkCountry: United StatesSingle or Primary Contact: Alison CritelliContact Phone: (631) 213-0146CLIA #: 33D0953401Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Hematocrit Influenza Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 01/13/2026 SCO Family of Services - Nevins PFI: L946Secondary Site ID: 0002Certification Type: WAIVERDirector: Yelitza Seoane, M.D.Phone: (718) 935-9466Fax: (718) 691-4609Address: 2-4 Nevins St, Brooklyn, NY 11217County: KingsCountry: United StatesSingle or Primary Contact: Alison CritelliContact Phone: (718) 674-7650CLIA #: 33D0953401Tests: COVID-19 ANTIGEN Breath Alcohol Drugs of Abuse Glucose Hematocrit Influenza Pregnancy Test (Urine) HCV, Rapid HIV, Rapid Saliva Alcohol Strep A Test Urinalysis 01/13/2026 BNY Health Center PFI: L952Secondary Site ID: 0000Certification Type: WAIVERDirector: Jane M Gold, M.D.Phone: (212) 815-4910Fax: (212) 815-3352Address: 101 Barclay St - 1E, New York, NY 10286County: New YorkCountry: United StatesSingle or Primary Contact: Carolyn IrelanContact Phone: (615) 927-1034CLIA #: 33D0859505Tests: COVID-19 ANTIGEN Cholesterol Community Screening Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Triglycerides Urinalysis 04/07/2027 Family Health Center of St Josephs Medical Center PFI: L958Secondary Site ID: 0000Certification Type: WAIVERDirector: Joel A. Lincoln, M.D.Phone: (914) 375-3200Fax: (914) 375-3354Address: 81 South Broadway, Yonkers, NY 10701County: WestchesterCountry: United StatesSingle or Primary Contact: Grace A ConsiglioContact Phone: (914) 378-7603CLIA #: 33D0953344Tests: Glucose Protime Pregnancy Test (Urine) Urinalysis 04/07/2027 Specialty Clinic PFI: L958Secondary Site ID: 0001Certification Type: WAIVERDirector: Joel A. Lincoln, M.D.Phone: (914) 378-7603Fax: (914) 378-7786Address: 107 S Broadway, Yonkers, NY 10701County: WestchesterCountry: United StatesSingle or Primary Contact: Grace A ConsiglioContact Phone: (914) 378-7603CLIA #: 33D0953344Tests: Glucose Protime Pregnancy Test (Urine) Urinalysis 04/07/2027 Evergreen Health Services PFI: L963Secondary Site ID: 0004Certification Type: WAIVERDirector: Fatai A. Gbadamosi, M.D.Phone: (716) 664-7855Fax: (716) 847-2715Address: 320 Prather Ave, Jamestown, NY 14701County: ChautauquaCountry: United StatesSingle or Primary Contact: Joelle ToalContact Phone: (716) 847-2441CLIA #: 33D0953352Tests: COVID-19 ANTIGEN Bacterial Vaginosis, Rapid Community Screening Drugs of Abuse Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) Trichomonas, Rapid HCV, Rapid HIV, Rapid Strep A Test Urinalysis 01/14/2027 Evergreen Health Services Inc PFI: L963Secondary Site ID: 0005Certification Type: WAIVERDirector: Fatai A. Gbadamosi, M.D.Phone: (716) 852-5969Fax: (716) 847-2715Address: 3297 Bailey Ave, Buffalo, NY 14215County: ErieCountry: United StatesSingle or Primary Contact: Joelle ToalContact Phone: (716) 847-2441CLIA #: 33D0953352Tests: COVID-19 ANTIGEN Bacterial Vaginosis, Rapid Community Screening Drugs of Abuse Glucose Glycosylated Hemoglobin Hemoglobin Influenza Occult Blood Protime Pregnancy Test (Urine) Trichomonas, Rapid HCV, Rapid HIV, Rapid Strep A Test Urinalysis 01/14/2027