Goldman Sachs Health Center
PFI: S510
Secondary Site ID: 0000
Certification Type: WAIVER
Director: David N Djebali, M.D.
Phone: (212) 357-6339
Fax: (646) 446-0375
Address: 200 West St - 10th Floor, New York, NY 10282
County: New York
Country: United States
Single or Primary Contact: Vanessa Weedman
Contact Phone: (615) 468-5507
CLIA #: 33D1106006
Tests:
COVID-19 ANTIGEN Cholesterol Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Mononucleosis Occult Blood Pregnancy Test (Urine) COVID-19 MOLECULAR HIV, Rapid Strep A Test Triglycerides Urinalysis
10/15/2025
Health Works - WNY LLP
PFI: S511
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mark Costanza, M.D.
Phone: (716) 712-0670
Fax: (716) 712-0745
Address: 1900 Ridge Road, West Seneca, NY 14224
County: Erie
Country: United States
Single or Primary Contact: Gloria Territo
Contact Phone: (716) 447-6474
CLIA #: 33D1099938
Tests:
Breath Alcohol Community Screening Drugs of Abuse Glucose Occult Blood Pregnancy Test (Urine) Urinalysis
05/08/2027
Island Endoscopy Center LLC
PFI: S513
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Rajkumar G Mariwalla, M.D.
Phone: (631) 376-0001
Fax: (631) 376-0003
Address: 1175 Montauk Hwy - Suite 1, West Islip, NY 11795
County: Suffolk
Country: United States
Single or Primary Contact: Marianne Jorgensen
Contact Phone: (631) 376-0001
CLIA #: 33D1100927
Tests:
COVID-19 ANTIGEN Community Screening Glucose Helicobacter Pylori Protime Pregnancy Test (Urine)
06/19/2025
Clarence Center Volunteer Fire Company
PFI: S519
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Joshua J Lynch, D.O.
Phone: (716) 741-2062
Fax: (716) 741-9043
Address: 9415 Clarence Center Road, Clarence Center, NY 14032
County: Erie
Country: United States
Single or Primary Contact: Casey Wisniewski
Contact Phone: (716) 583-8997
CLIA #: 33D1104644
Tests:
09/15/2025
Mountain Lakes EMS Council Inc
PFI: S523
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 793-8200
Fax: (518) 793-5833
Address: 375 Bay Rd Ste 202, Queensbury, NY 12804
County: Warren
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 793-8200
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Burke Volunteer Fire Department
PFI: S523
Secondary Site ID: 0065
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 483-0804
Fax: (518) 483-1041
Address: 1041 East Main Street, Burke, NY 12917
County: Warren
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 483-0804
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Minerva Volunteer Fire Department and Rescue Squad
PFI: S523
Secondary Site ID: 0060
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 251-3333
Fax:
Address: 1495 State Rte 28N, Minerva, NY 12851
County: Essex
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 251-3333
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Shushan Volunteer Fire Company First Responders
PFI: S523
Secondary Site ID: 0059
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 854-3155
Fax:
Address: Railroad Avenue, Shushan, NY 12873
County: Washington
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 854-3954
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
North Warren Emergency Squad
PFI: S523
Secondary Site ID: 0055
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 494-4317
Fax: (518) 494-2462
Address: 2 Cougar Lane, Chestertown, NY 12817
County: Warren
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 494-4317
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Franklin County - Alice Hyde First Response Agency
PFI: S523
Secondary Site ID: 0051
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 483-2580
Fax:
Address: 55 Bare Road, Malone, NY 12953
County: Franklin
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 483-2580
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Bay Ridge Volunteer Fire Company Inc
PFI: S523
Secondary Site ID: 0047
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 792-6979
Fax: (518) 798-5845
Address: 1080 Bay Rd, Lake George, NY 12845
County: Warren
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 792-6979
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
International Paper Company Medical Emergency Response Team
PFI: S523
Secondary Site ID: 0046
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 585-5673
Fax: (518) 585-5413
Address: 568 Shore Airport Rd, Ticonderoga, NY 12883
County: Essex
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 585-5709
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Saint Regis Falls Ambulance
PFI: S523
Secondary Site ID: 0045
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 856-9314
Fax: (518) 856-9314
Address: 7 N River Rd, St Regis Falls, NY 12980
County: Franklin
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 856-9314
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Chateaugay Fire Company Inc
PFI: S523
Secondary Site ID: 0040
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 497-3135
Fax:
Address: 2 Lake St, Chateaugay, NY 12920
County: Franklin
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 497-3135
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Dannemora Fire Department
PFI: S523
Secondary Site ID: 0039
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 492-2381
Fax: (518) 492-2657
Address: 163 Emmons St, Dannemora, NY 12929
County: Clinton
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 492-2381
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Bombay Volunteer Rescue Squad
PFI: S523
Secondary Site ID: 0038
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 358-4213
Fax:
Address: 1856 State Rte 95, Bombay, NY 12914
County: Franklin
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 358-4213
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Newcomb Volunteer Fire and Rescue Squad Inc
PFI: S523
Secondary Site ID: 0035
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 582-4712
Fax: (518) 582-5044
Address: 20 Marcy Lane, Newcomb, NY 12852
County: Essex
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 582-2107
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Elizabethtown Lewis Emergency Squad
PFI: S523
Secondary Site ID: 0030
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 873-2122
Fax:
Address: 8143 US Rte 9, Lewis, NY 12950
County: Essex
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 873-2122
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Saranac Volunteer Fire Department EMS
PFI: S523
Secondary Site ID: 0026
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 293-8290
Fax:
Address: 3277 Rte 3, Saranac, NY 12981
County: Clinton
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 293-8290
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
EMT of CVPH Inc
PFI: S523
Secondary Site ID: 0021
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 962-2698
Fax: (518) 562-7950
Address: 6708 Main St Trackside, Westport, NY 12993
County: Essex
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 962-4701
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019