Excel at Woodbury PFI: Z212Secondary Site ID: 0000Certification Type: WAIVERDirector: Brenainn M Flanagan, M.D.Phone: (516) 692-4100Fax: (516) 692-8794Address: 8533 Jericho Tpke, Woodbury, NY 11797County: NassauCountry: United StatesSingle or Primary Contact: Stacey AltmanContact Phone: (516) 692-4100CLIA #: 33D2191600Tests: COVID-19 ANTIGEN Glucose Influenza 08/31/2026 Glen Cove Center for Nursing and Rehabilitation PFI: Z213Secondary Site ID: 0000Certification Type: WAIVERDirector: Mohammud M Alam, M.D.Phone: (516) 656-8000Fax: Address: 6 Medical Plaza, Glen Cove, NY 11542County: NassauCountry: United StatesSingle or Primary Contact: Ruslana SigalovaContact Phone: (516) 656-8000CLIA #: 33D2191602Tests: 08/31/2026 Grand Care Pharmacy Inc PFI: Z214Secondary Site ID: 0000Certification Type: WAIVERDirector: Chester H Fox, M.D.Phone: (718) 446-6656Fax: (718) 458-6656Address: 66-56 Grand Ave, Maspeth, NY 11378County: QueensCountry: United StatesSingle or Primary Contact: Trevor LatchminarainContact Phone: CLIA #: 33D2191601Tests: COVID-19 ANTIGEN Community Screening Glycosylated Hemoglobin Influenza COVID-19 MOLECULAR COVID-19 ANTIBODY 08/31/2026 Shore View Nursing and Rehabilitation Center PFI: Z216Secondary Site ID: 0000Certification Type: WAIVERDirector: Samar Raza, M.D.Phone: (718) 891-4400Fax: (718) 484-1235Address: 2865 Brighton 3rd St, Brooklyn, NY 11235County: KingsCountry: United StatesSingle or Primary Contact: Alex PushkanzerContact Phone: (917) 836-6352CLIA #: 33D2191599Tests: COVID-19 ANTIGEN Glucose Influenza Urinalysis 08/31/2026 Sprain Brook Manor Rehab LLC PFI: Z218Secondary Site ID: 0000Certification Type: WAIVERDirector: Ashok Chopra, M.D.Phone: (914) 472-3200Fax: (914) 358-2002Address: 77 Jackson Ave, Scarsdale, NY 10583County: WestchesterCountry: United StatesSingle or Primary Contact: Ben KahanContact Phone: 91447232000CLIA #: 33D2192038Tests: COVID-19 ANTIGEN Glucose COVID-19 MOLECULAR 09/04/2026 Quail Summit Inc PFI: Z219Secondary Site ID: 0000Certification Type: WAIVERDirector: Sarah M Howd, M.D.Phone: (585) 396-1010Fax: (585) 396-1741Address: 5102 Parrish St Ext, Canandaigua, NY 14424County: OntarioCountry: United StatesSingle or Primary Contact: Laura HollenbeckContact Phone: (585) 396-1010CLIA #: 33D2192041Tests: COVID-19 ANTIGEN Community Screening Glucose Influenza 09/04/2026 Eastchester Rehabilitation and Health Care Center PFI: Z220Secondary Site ID: 0000Certification Type: WAIVERDirector: Shervin Mortazavi, M.D.Phone: (718) 231-5550Fax: Address: 2700 Eastchester Rd, Bronx, NY 10469County: BronxCountry: United StatesSingle or Primary Contact: Nathaniel GordonContact Phone: (718) 231-5550CLIA #: 33D2192159Tests: COVID-19 ANTIGEN Glucose Protime Urinalysis 09/05/2026 Rebekah Rehab and Extended Care Center PFI: Z223Secondary Site ID: 0000Certification Type: WAIVERDirector: Jeffrey C. Gold, M.D.Phone: (718) 863-6200Fax: (914) 530-2161Address: 1070 Havemeyer Ave, Bronx, NY 10462County: BronxCountry: United StatesSingle or Primary Contact: Nadine HallContact Phone: (718) 863-6200CLIA #: 33D2192140Tests: 09/04/2026 Delco Drugs and Specialty Pharmacy PFI: Z225Secondary Site ID: 0000Certification Type: WAIVERDirector: John Zafaranloo, M.D.Phone: (718) 984-6600Fax: (718) 984-6601Address: 3833 Richmond Ave, Staten Island, NY 10312County: RichmondCountry: United StatesSingle or Primary Contact: Robert AnnichoricoContact Phone: (718) 984-6600CLIA #: 33D2195760Tests: COVID-19 ANTIGEN Influenza COVID-19 MOLECULAR Strep A Test 10/13/2026 Jericho Road Community Health Center PFI: Z228Secondary Site ID: 0000Certification Type: PPMPDirector: Carla R Henke, M.D.Phone: (716) 529-3020Fax: (716) 529-3040Address: 1021 Broadway St, Buffalo, NY 14212County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2192904Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Glycosylated Hemoglobin Hemoglobin Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2026 Jericho Road Community Health Center PFI: Z229Secondary Site ID: 0000Certification Type: PPMPDirector: Karyanne L Carrizales, P.A.Phone: (716) 919-6870Fax: (716) 919-6871Address: 100 E Tupper St, Buffalo, NY 14203County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2193162Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Hemoglobin Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2026 Jericho Road Community Health Center PFI: Z231Secondary Site ID: 0000Certification Type: PPMPDirector: Takesha L Leonard, N.P.Phone: (716) 892-2775Fax: (716) 597-0554Address: 21 Doat St, Buffalo, NY 14211County: ErieCountry: United StatesSingle or Primary Contact: Jessie MossopContact Phone: (716) 348-3000CLIA #: 33D2193165Tests: Blood Lead Cholesterol Community Screening Drugs of Abuse Direct Wet Mount Preps Fern Tests Glucose Hemoglobin Influenza Ketones Occult Blood Potassium Hydroxide (KOH Preps) pH Pinworm Exams Potassium Protime Pregnancy Test (Urine) COVID-19 MOLECULAR RSV (Respiratory Syncytial Virus) Strep A Test Urinalysis 09/17/2026 BronxCare - Mount Sinai Comprehensive Cancer Care PFI: Z232Secondary Site ID: 0000Certification Type: WAIVERDirector: AAM A. Baqui, M.D., Ph.D.Phone: (718) 239-8359Fax: (718) 579-3901Address: 1775 Grand Concource - 4th Floor, Bronx, NY 10457County: BronxCountry: United StatesSingle or Primary Contact: James DunneContact Phone: (718) 518-5197CLIA #: 33D2192885Tests: 09/15/2026 The Carlucci Home PFI: Z235Secondary Site ID: 0000Certification Type: WAIVERDirector: Edward J Bieniewicz, M.D.Phone: (845) 355-7700Fax: (845) 355-2082Address: 516 Mullock Rd, Port Jervis, NY 12771County: OrangeCountry: United StatesSingle or Primary Contact: Jennie CarlucciContact Phone: (914) 443-6835CLIA #: 33D2192285Tests: COVID-19 ANTIGEN Urinalysis 09/09/2026 Queens Boulevard Extended Care Facility Dialysis Center LLC PFI: Z236Secondary Site ID: 0000Certification Type: WAIVERDirector: Nimesh A Patel, M.D.Phone: (718) 205-8822Fax: (718) 205-8823Address: 61-11 Queens Blvd, Woodside, NY 11377County: QueensCountry: United StatesSingle or Primary Contact: Jonathan MawereContact Phone: (718) 205-0287CLIA #: 33D2192287Tests: COVID-19 ANTIGEN Glucose Influenza COVID-19 MOLECULAR Strep A Test 09/09/2026 St Joseph's Hospital Skilled Nursing Facility PFI: Z238Secondary Site ID: 0000Certification Type: WAIVERDirector: Francisco J Corbalan, M.D.Phone: (607) 733-6541Fax: (607) 271-3406Address: 555 St Joseph's Blvd, Elmira, NY 14901County: ChemungCountry: United StatesSingle or Primary Contact: John L ZehrContact Phone: (607) 733-6541CLIA #: 33D2192292Tests: 09/09/2026 Surge Rehabilitation and Nursing PFI: Z240Secondary Site ID: 0000Certification Type: WAIVERDirector: Igor A Gutnik, M.D.Phone: (631) 995-2900Fax: (631) 995-2702Address: 49 Oakcrest Ave, Middle Island, NY 11953County: SuffolkCountry: United StatesSingle or Primary Contact: Turquoise ClintonContact Phone: (631) 995-2900CLIA #: 33D2192300Tests: 09/09/2026 East Patchogue Dialysis PFI: Z242Secondary Site ID: 0000Certification Type: WAIVERDirector: Mohammed S Rahman, M.D.Phone: (631) 447-2401Fax: (631) 447-2406Address: 479 E Main St, Patchogue, NY 11772County: SuffolkCountry: United StatesSingle or Primary Contact: Carrie PenceContact Phone: (615) 341-6410CLIA #: 33D2192303Tests: 09/14/2026 WG Woodlands SH LLC PFI: Z246Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (914) 274-0240Fax: (502) 779-4749Address: 1017 Saw Mill River Rd, Ardsley, NY 10502County: WestchesterCountry: United StatesSingle or Primary Contact: Davita Andrew-NandlallContact Phone: (914) 693-7700CLIA #: 33D2192916Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026 WG Bayshore SH LLC PFI: Z247Secondary Site ID: 0000Certification Type: WAIVERDirector: Farzin Sehati, D.O.Phone: (631) 206-1200Fax: (502) 779-4749Address: 53 Ocean Ave, Bay Shore, NY 11706County: SuffolkCountry: United StatesSingle or Primary Contact: Lindsay NegronContact Phone: (631) 206-1200CLIA #: 33D2192918Tests: COVID-19 ANTIGEN Influenza Strep A Test 09/16/2026