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Franklin County Sheriff Dept - Franklin County Jail

PFI: X341
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Glenn Schroyer, M.D.
Phone: (518) 483-6795
Fax: (518) 481-5176
Address: 45 Barehill Road, Malone, NY 12953
County: Franklin
Country: United States
Single or Primary Contact: Ms. Janet Collins
Contact Phone: (518) 483-6795
CLIA #: 33D2144155

Tests:

  • Drugs of Abuse
  • Glucose
  • HIV, Rapid
  • Influenza
  • Occult Blood
  • Pregnancy Test (Urine)
Record last changed Feb 15, 2018 ·
02/14/2020

USRC Forest Hills LLC dba US Renal Care Forest Hills Dialysis

PFI: X342
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Elizabeth Q Liang, M.D.
Phone: (347) 286-4013
Fax: (347) 286-4014
Address: 68-54 Austin St - Suite 500, Forest Hills, NY 11375-4245
County: Erie
Country: United States
Single or Primary Contact: Ms. Lisa Stewart
Contact Phone: (214) 736-2700
CLIA #: 33D2144156

Tests:

  • Glucose
Record last changed Feb 15, 2018 ·
02/14/2020

The Farrar Home

PFI: X343
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Leonardo Dishman, M.D.
Phone: (518) 483-7550
Fax: (518) 483-8107
Address: 46 Constable Street, Malone, NY 12953
County: Franklin
Country: United States
Single or Primary Contact: Ms. Kristie Sherry-Keating
Contact Phone: (518) 483-7550
CLIA #: 33D2144158

Tests:

  • Glucose
Record last changed Feb 15, 2018 ·
02/14/2020

Port Jeff Medicine PC

PFI: W233
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Deepti Gupta, M.D.
Phone: (631) 331-5010
Fax: (631) 331-5017
Address: 2 Medical Drive - Suite D, Port Jefferson Sta, NY 11776
County: Suffolk
Country: United States
Single or Primary Contact: Ms. Michelle Peluso
Contact Phone: (516) 633-3545
CLIA #: 33D2110426

Tests:

  • Glucose
  • Glycosylated Hemoglobin
  • Mononucleosis
  • Pregnancy Test (Urine)
  • Protime
  • Strep Antigen Test
  • Urinalysis
Record last changed Feb 14, 2018 ·
03/24/2018

Carillon Nursing and Rehabilitation Center

PFI: M848
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Anthony J Antonucci, M.D.
Phone: (631) 271-5800
Fax: (631) 271-5806
Address: 830 Park Ave, Huntington, NY 11743
County: Suffolk
Country: United States
Single or Primary Contact: Claudia Schreck,
Contact Phone: (631) 271-5800
CLIA #: 33D0157438

Tests:

  • Glucose
  • Protime
Record last changed Feb 13, 2018 ·
03/01/2018