Bangor Volunteer Fire Department Inc
PFI: S523
Secondary Site ID: 0034
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 483-2780
Fax: (518) 483-2780
Address: 2367 State Route 11, North Bangor, NY 12966
County: Franklin
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 483-2750
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Willsboro/Essex EMS
PFI: S523
Secondary Site ID: 0033
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 963-7619
Fax: (518) 963-7619
Address: 2659 NYS Rt 22, Essex, NY 12936
County: Essex
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 963-7619
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Au Sable Forks Volunteer Ambulance Service
PFI: S523
Secondary Site ID: 0031
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 647-8860
Fax: (518) 647-5749
Address: 26 School Lane, Au Sable, NY 12912
County: Essex
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 647-8860
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Hague Volunteer Fire Dept Inc
PFI: S523
Secondary Site ID: 0028
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 543-6059
Fax: (518) 543-6789
Address: 4 West Hague Rd, Hague, NY 12836
County: Warren
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 543-6059
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Constable Volunteer Firemen Inc
PFI: S523
Secondary Site ID: 0027
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 483-5908
Fax: (518) 483-1509
Address: 1136 State Route 122, Constable, NY 12926
County: Franklin
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 483-5908
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
Bay Ridge Rescue Squad Inc
PFI: S523
Secondary Site ID: 0017
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 743-9566
Fax: (518) 743-1948
Address: 1109 Ridge Rd, Queensbury, NY 12804
County: Warren
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 743-9566
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Fort Ann Rescue Squad
PFI: S523
Secondary Site ID: 0024
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 639-4406
Fax:
Address: 11287 State Rte 149, Fort Ann, NY 12827
County: Washington
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 639-4406
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Westville Volunteer Firemen's Assoc Inc
PFI: S523
Secondary Site ID: 0023
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 358-4450
Fax: (518) 358-4450
Address: 3891 State Rte 37, Constable, NY 12926
County: Franklin
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 358-4450
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: 0022
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 834-9053
Fax: (518) 834-9094
Address: 8 Pleasant St, Keeseville, NY 12944
County: Clinton
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 834-9053
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
Tupper Lake Volunteer Ambulance and Emergency Squad
PFI: S523
Secondary Site ID: 0020
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 359-9321
Fax: (518) 359-9692
Address: 49 High St, Tupper Lake, NY 12986
County: Franklin
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 359-9321
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
Town of Clinton Ambulance Service
PFI: S523
Secondary Site ID: 0025
Certification Type: WAIVER
Director: Tiffany Bombard, M.D.
Phone: (518) 497-6623
Fax:
Address: 1301 Clinton Mills Rd, Churubusco, NY 12923
County: Clinton
Country: United States
Single or Primary Contact: Travis Howe
Contact Phone: (518) 497-6133
CLIA #: 33D1023278
Tests:
Blood Urea Nitrogen (BUN) Carbon Dioxide Chloride Community Screening Creatinine Glucose Hemoglobin Hematocrit Potassium Sodium
09/12/2019
ODA Crown Heights
PFI: S524
Secondary Site ID: 0006
Certification Type: WAIVER
Director: Robert B. Krausz, M.D.
Phone: (718) 260-4670
Fax: (718) 852-0867
Address: 779 East New York Ave, Brooklyn, NY 11203
County: Kings
Country: United States
Single or Primary Contact: Leah Wagshul
Contact Phone: 71826046001005
CLIA #: 33D1099409
Tests:
COVID-19 ANTIGEN Blood Lead Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Lyme Disease Antibodies Occult Blood Protime COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis Complete Blood Count
05/14/2025
ODA Primary Health Care Center Inc
PFI: S524
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Robert B. Krausz, M.D.
Phone: (845) 434-2060
Fax: (845) 434-2020
Address: 6 Dairyland Road, Woodridge, NY 12789
County: Sullivan
Country: United States
Single or Primary Contact: Leah Wagshul
Contact Phone: (718) 260-4600
CLIA #: 33D1099409
Tests:
COVID-19 ANTIGEN Blood Lead Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Lyme Disease Antibodies Occult Blood Protime COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis Complete Blood Count
06/14/2025
Mobile Diagnostic and Treatment Center Extension Clinic
PFI: S524
Secondary Site ID: 0005
Certification Type: WAIVER
Director: Robert B. Krausz, M.D.
Phone: (718) 260-4600
Fax: (718) 852-0867
Address: 35 Franklin Ave, Brooklyn, NY 11205
County: Kings
Country: United States
Single or Primary Contact: Leah Wagshul
Contact Phone: 71826046001004
CLIA #: 33D1099409
Tests:
COVID-19 ANTIGEN Blood Lead Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Lyme Disease Antibodies Occult Blood Protime COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis Complete Blood Count
05/14/2025
ODA Kent Ave Multispecialty Wellness Center
PFI: S524
Secondary Site ID: 0004
Certification Type: WAIVER
Director: Robert B. Krausz, M.D.
Phone: (718) 260-4600
Fax: (718) 852-0867
Address: 74 Wallabout Street, Brooklyn, NY 11249
County: Kings
Country: United States
Single or Primary Contact: Leah Wagshul
Contact Phone:
CLIA #: 33D1099409
Tests:
COVID-19 ANTIGEN Blood Lead Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Lyme Disease Antibodies Occult Blood Protime COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis Complete Blood Count
05/14/2025
Quality Health Center
PFI: S524
Secondary Site ID: 0003
Certification Type: WAIVER
Director: Robert B. Krausz, M.D.
Phone: (718) 387-2408
Fax: (718) 387-9222
Address: 432 Bedford Avenue, Brooklyn, NY 11211
County: Kings
Country: United States
Single or Primary Contact: Leah Wagshul
Contact Phone: 71838724085502
CLIA #: 33D1099409
Tests:
COVID-19 ANTIGEN Blood Lead Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Lyme Disease Antibodies Occult Blood Protime COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis Complete Blood Count
05/14/2025
ODA Monticello
PFI: S524
Secondary Site ID: 0002
Certification Type: WAIVER
Director: Robert B. Krausz, M.D.
Phone: (845) 794-5090
Fax:
Address: 60 Jefferson St - Suite 1, Monticello, NY 12701
County: Sullivan
Country: United States
Single or Primary Contact: Leah Wagshul
Contact Phone: 7182604600305
CLIA #: 33D1099409
Tests:
COVID-19 ANTIGEN Blood Lead Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Lyme Disease Antibodies Occult Blood Protime COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis Complete Blood Count
05/14/2025
ODA Primary Health Care Center Park Ave Limited Service Laboratory
PFI: S524
Secondary Site ID: 0001
Certification Type: WAIVER
Director: Robert B. Krausz, M.D.
Phone: (718) 260-4600
Fax: (718) 852-0867
Address: 517 Park Avenue, Brooklyn, NY 11205
County: Kings
Country: United States
Single or Primary Contact: Leah Wagshul
Contact Phone: (718) 260-4600
CLIA #: 33D1099409
Tests:
COVID-19 ANTIGEN Blood Lead Glucose Glycosylated Hemoglobin Hemoglobin Hematocrit Influenza Lyme Disease Antibodies Occult Blood Protime COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis Complete Blood Count
05/14/2025