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Suffolk Outpatient Treatment Program

PFI: T758
Secondary Site ID: 0019
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (631) 351-7113
Fax: (631) 351-0862
Address: 2075 New York Ave, Huntington, NY 11746
County: Suffolk
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (631) 589-9500
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

ACT

PFI: T758
Secondary Site ID: 0023
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 443-0923
Fax:
Address: 988 Myrtle Ave, Brooklyn, NY 11206
County: Kings
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (718) 443-0923
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Cape Road Residential Treatment Program

PFI: T758
Secondary Site ID: 0024
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (845) 647-6575
Fax:
Address: 767 Cape Rd, Ellenville, NY 12428
County: Ulster
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (845) 647-4592
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Fox Run Residential Treatment Program

PFI: T758
Secondary Site ID: 0025
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (845) 516-1000
Fax:
Address: 190 Fox Hollow Rd, Rhinebeck, NY 12572
County: Dutchess
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (845) 516-1000
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Meadow Run Residential Treatment Program

PFI: T758
Secondary Site ID: 0026
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (845) 876-3789
Fax:
Address: 88 Fox Hollow Rd, Rhinebeck, NY 12572
County: Dutchess
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (845) 876-3789
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Jamaica IOP ISSWR Program Lab

PFI: T758
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 206-1990
Fax: (718) 206-0051
Address: 144-10 Jamaica Avenue, Jamaica, NY 11435
County: Queens
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (718) 206-2000
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Forbell Satellite

PFI: T758
Secondary Site ID: 0015
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (929) 244-1456
Fax: (718) 636-1613
Address: 338 Forbell Avenue, Brooklyn, NY 11208
County: Kings
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (917) 773-7317
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

New Beginnings Community Counseling Center

PFI: T758
Secondary Site ID: 0014
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 665-7112
Fax: (718) 665-1174
Address: 510 Courtlandt Avenue 4th Floor, Bronx, NY 10451
County: Bronx
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (718) 665-2456
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Independence Outpatient Treatment Program

PFI: T758
Secondary Site ID: 0013
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 402-9000
Fax: (718) 665-0803
Address: 510 Courtlandt Avenue 5th Floor, Bronx, NY 10451
County: Bronx
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (917) 773-7317
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Mott Haven - OTP

PFI: T758
Secondary Site ID: 0011
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 292-4640
Fax: (718) 402-5006
Address: 362 East 148th Street, Bronx, NY 10455
County: Bronx
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (718) 292-4640
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Richmond Hill - Residential

PFI: T758
Secondary Site ID: 0001
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 441-8913
Fax: (718) 805-6041
Address: 130-20 89th Road, Richmond Hill, NY 11418
County: Queens
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (718) 441-8913
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Jarrett Place

PFI: T758
Secondary Site ID: 0003
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 681-9300
Fax: (718) 681-8913
Address: 1521 Jarrett Place, Bronx, NY 10461
County: Bronx
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (917) 387-6957
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Van Wyck Admissions and Residential

PFI: T758
Secondary Site ID: 0004
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 657-6195
Fax: (718) 297-9041
Address: 88-83 Van Wyck Expressway, Jamaica, NY 11435
County: Queens
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (718) 647-8010
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Ellenville and Ellenville Women's Vets

PFI: T758
Secondary Site ID: 0005
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (845) 647-4592
Fax: (845) 701-1601
Address: 751 Briggs Hwy, Ellenville, NY 12428
County: Ulster
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (917) 387-6957
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

43rd Veterans

PFI: T758
Secondary Site ID: 0006
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (212) 333-5445
Fax: (212) 307-7382
Address: 327 W 43rd Street, New York, NY 10036
County: New York
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (917) 387-6957
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Ed Thompson

PFI: T758
Secondary Site ID: 0007
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 849-3582
Fax: (718) 850-3914
Address: 130-15 89th Road, Richmond Hill, NY 11418
County: Queens
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (917) 387-6957
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

106 Community Residence

PFI: T758
Secondary Site ID: 0008
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (212) 864-4128
Fax: (212) 663-9193
Address: 68 W 106th Street, New York, NY 10025
County: New York
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (917) 387-6957
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Harlem OP

PFI: T758
Secondary Site ID: 0009
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (212) 864-4128
Fax: (212) 904-1515
Address: 2090 Adam Clayton Powell Blvd-Flr 7, New York, NY 10027
County: New York
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (718) 704-3910
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Grand Concourse Outpatient Treatment Program

PFI: T758
Secondary Site ID: 0010
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 292-4455
Fax: (718) 292-9228
Address: 250 Grand Concourse, Bronx, NY 10451
County: Bronx
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (718) 292-4455
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

Bronx Outpatient Treatment Program

PFI: T758
Secondary Site ID: 0012
Certification Type: WAIVER
Director: Tatiana Gouskova, M.D.
Phone: (718) 518-9007
Fax: (718) 518-8281
Address: 900 Arnow Avenue, Bronx, NY 10469
County: Bronx
Country: United States
Single or Primary Contact: Charles Madray
Contact Phone: (929) 218-0878
CLIA #: 33D2054034

Tests:

  • COVID-19 ANTIGEN
  • Breath Alcohol
  • Drugs of Abuse
  • Erythrocyte Sedimentation Rate (ESR)
  • Glucose
  • Occult Blood
  • pH
  • Pregnancy Test (Urine)
  • HIV, Rapid
  • Saliva Alcohol
  • Strep A Test
  • Urinalysis
02/13/2027
Print

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Limited Service Laboratories

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Clinical Laboratory Evaluation Program

Phone Number
(518) 485-5378
Fax Number
(518) 485-5414
Email Address
clep@health.ny.gov

US Postal Service

Clinical Laboratory Evaluation Program
Biggs Laboratory
Wadsworth Center
NYS Department of Health
Empire State Plaza
Albany, NY 12237

UPS, FedEx, Courier

Clinical Lab Eval Program
Biggs Lab – Wadsworth Center
NYS Department of Health
Dock J – P1, Empire State Plaza
Albany, NY 12237

New York State Department of Health, Wadsworth Center

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