Super Health Pharmacy LLC
PFI: Z201
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chester H Fox, M.D.
Phone: (718) 967-4600
Fax: (718) 967-4601
Address: 6390 Amboy Rd, Staten Island, NY 10309
County: Richmond
Country: United States
Single or Primary Contact: Mayank Parikh
Contact Phone: (718) 967-4600
CLIA #: 33D2191315
Tests:
COVID-19 ANTIGEN Cholesterol Community Screening Drugs of Abuse Glucose Glycosylated Hemoglobin HDL Cholesterol Influenza LDL Cholesterol Pregnancy Test (Urine) COVID-19 MOLECULAR HCV, Rapid HIV, Rapid RSV (Respiratory Syncytial Virus) COVID-19 ANTIBODY Strep A Test Triglycerides Urinalysis
08/27/2026
Hampton Gynecology and Obstetrics
PFI: Z202
Secondary Site ID: 0000
Certification Type: PPMP
Director: Florence R Rolston, M.D.
Phone: (631) 638-7820
Fax: (631) 638-7833
Address: 600 Montauk Hwy - Suite C, Center Moriches, NY 11934
County: Suffolk
Country: United States
Single or Primary Contact: Isabella Scarpa
Contact Phone: (631) 297-8889
CLIA #: 33D2194828
Tests:
Direct Wet Mount Preps Fern Tests Hemoglobin Hematocrit Ketones Occult Blood pH Post-coital Direct Pregnancy Test (Urine) Qualitative Semen Analysis (microscopy) Urinalysis
10/05/2026
Walgreens No. 09971
PFI: Z203
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Zeiad A Fakhouri, M.D.
Phone: (518) 426-2976
Fax:
Address: 41 Holland Ave, Albany, NY 12208
County: Albany
Country: United States
Single or Primary Contact: Daniel Rodriguez
Contact Phone: (847) 282-2589
CLIA #: 33D2191595
Tests:
COVID-19 ANTIGEN Influenza COVID-19 MOLECULAR
08/29/2026
Walgreens No. 03470
PFI: Z204
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Zeiad A Fakhouri, M.D.
Phone: (631) 271-2965
Fax:
Address: 984 New York Ave, Huntington Station, NY 11746
County: Suffolk
Country: United States
Single or Primary Contact: Daniel Rodriguez
Contact Phone: (847) 282-2589
CLIA #: 33D2191597
Tests:
COVID-19 ANTIGEN Influenza COVID-19 MOLECULAR
08/29/2026
Walgreens No. 19049
PFI: Z206
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Zeiad A Fakhouri, M.D.
Phone: (315) 455-5641
Fax:
Address: 2616 Brewerton Rd, Mattydale, NY 13211
County: Onondaga
Country: United States
Single or Primary Contact: Joan E Petrowski
Contact Phone: (847) 527-4274
CLIA #: 33D2191856
Tests:
09/02/2024
Town of Cuba Ambulance Service
PFI: Z209
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Aaron N Farney, M.D.
Phone: (585) 968-1666
Fax: (585) 968-1294
Address: 7 Bull St, Cuba, NY 14727
County: Allegany
Country: United States
Single or Primary Contact: Aaron Appleby
Contact Phone: (716) 244-2560
CLIA #: 33D2192888
Tests:
09/15/2026
Bethany Gardens Skilled Living Center
PFI: Z210
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Hamerton D Jeanty, M.D.
Phone: (315) 339-3210
Fax: (315) 339-6927
Address: 800 W Chestnut St, Rome, NY 13440
County: Oneida
Country: United States
Single or Primary Contact: Mark Smith
Contact Phone: (315) 339-3210
CLIA #: 33D2191603
Tests:
09/02/2026
Excel at Woodbury
PFI: Z212
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Brenainn M Flanagan, M.D.
Phone: (516) 692-4100
Fax: (516) 692-8794
Address: 8533 Jericho Tpke, Woodbury, NY 11797
County: Nassau
Country: United States
Single or Primary Contact: Stacey Altman
Contact Phone: (516) 692-4100
CLIA #: 33D2191600
Tests:
COVID-19 ANTIGEN Glucose Influenza
08/31/2026
Glen Cove Center for Nursing and Rehabilitation
PFI: Z213
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Mohammud M Alam, M.D.
Phone: (516) 656-8000
Fax:
Address: 6 Medical Plaza, Glen Cove, NY 11542
County: Nassau
Country: United States
Single or Primary Contact: Ruslana Sigalova
Contact Phone: (516) 656-8000
CLIA #: 33D2191602
Tests:
08/31/2026
Grand Care Pharmacy Inc
PFI: Z214
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Chester H Fox, M.D.
Phone: (718) 446-6656
Fax: (718) 458-6656
Address: 66-56 Grand Ave, Maspeth, NY 11378
County: Queens
Country: United States
Single or Primary Contact: Trevor Latchminarain
Contact Phone:
CLIA #: 33D2191601
Tests:
COVID-19 ANTIGEN Community Screening Glycosylated Hemoglobin Influenza COVID-19 MOLECULAR COVID-19 ANTIBODY
08/31/2026
Shore View Nursing and Rehabilitation Center
PFI: Z216
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Samar Raza, M.D.
Phone: (718) 891-4400
Fax: (718) 484-1235
Address: 2865 Brighton 3rd St, Brooklyn, NY 11235
County: Kings
Country: United States
Single or Primary Contact: Alex Pushkanzer
Contact Phone: (917) 836-6352
CLIA #: 33D2191599
Tests:
COVID-19 ANTIGEN Glucose Influenza Urinalysis
08/31/2026
Sprain Brook Manor Rehab LLC
PFI: Z218
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Ashok Chopra, M.D.
Phone: (914) 472-3200
Fax: (914) 358-2002
Address: 77 Jackson Ave, Scarsdale, NY 10583
County: Westchester
Country: United States
Single or Primary Contact: Ben Kahan
Contact Phone: 91447232000
CLIA #: 33D2192038
Tests:
COVID-19 ANTIGEN Glucose COVID-19 MOLECULAR
09/04/2026
Quail Summit Inc
PFI: Z219
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Sarah M Howd, M.D.
Phone: (585) 396-1010
Fax: (585) 396-1741
Address: 5102 Parrish St Ext, Canandaigua, NY 14424
County: Ontario
Country: United States
Single or Primary Contact: Laura Hollenbeck
Contact Phone: (585) 396-1010
CLIA #: 33D2192041
Tests:
COVID-19 ANTIGEN Community Screening Glucose Influenza
09/04/2026
Eastchester Rehabilitation and Health Care Center
PFI: Z220
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Shervin Mortazavi, M.D.
Phone: (718) 231-5550
Fax:
Address: 2700 Eastchester Rd, Bronx, NY 10469
County: Bronx
Country: United States
Single or Primary Contact: Nathaniel Gordon
Contact Phone: (718) 231-5550
CLIA #: 33D2192159
Tests:
COVID-19 ANTIGEN Glucose Protime Urinalysis
09/05/2026
Rebekah Rehab and Extended Care Center
PFI: Z223
Secondary Site ID: 0000
Certification Type: WAIVER
Director: Jeffrey C. Gold, M.D.
Phone: (718) 863-6200
Fax: (914) 530-2161
Address: 1070 Havemeyer Ave, Bronx, NY 10462
County: Bronx
Country: United States
Single or Primary Contact: Nadine Hall
Contact Phone: (718) 863-6200
CLIA #: 33D2192140
Tests:
09/04/2026
Delco Drugs and Specialty Pharmacy
PFI: Z225
Secondary Site ID: 0000
Certification Type: WAIVER
Director: John Zafaranloo, M.D.
Phone: (718) 984-6600
Fax: (718) 984-6601
Address: 3833 Richmond Ave, Staten Island, NY 10312
County: Richmond
Country: United States
Single or Primary Contact: Robert Annichorico
Contact Phone: (718) 984-6600
CLIA #: 33D2195760
Tests:
COVID-19 ANTIGEN Influenza COVID-19 MOLECULAR Strep A Test
10/13/2026
Jericho Road Community Health Center
PFI: Z228
Secondary Site ID: 0000
Certification Type: PPMP
Director: Carla R Henke, M.D.
Phone: (716) 529-3020
Fax: (716) 529-3040
Address: 1021 Broadway St, Buffalo, NY 14212
County: Erie
Country: United States
Single or Primary Contact: Jessie Mossop
Contact Phone: (716) 348-3000
CLIA #: 33D2192904
Tests:
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: Z229
Secondary Site ID: 0000
Certification Type: PPMP
Director: Karyanne L Carrizales, P.A.
Phone: (716) 919-6870
Fax: (716) 919-6871
Address: 100 E Tupper St, Buffalo, NY 14203
County: Erie
Country: United States
Single or Primary Contact: Jessie Mossop
Contact Phone: (716) 348-3000
CLIA #: 33D2193162
Tests:
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: Z231
Secondary Site ID: 0000
Certification Type: PPMP
Director: Takesha L Leonard, N.P.
Phone: (716) 892-2775
Fax: (716) 597-0554
Address: 21 Doat St, Buffalo, NY 14211
County: Erie
Country: United States
Single or Primary Contact: Jessie Mossop
Contact Phone: (716) 348-3000
CLIA #: 33D2193165
Tests:
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: Z232
Secondary Site ID: 0000
Certification Type: WAIVER
Director: AAM A. Baqui, M.D., Ph.D.
Phone: (718) 239-8359
Fax: (718) 579-3901
Address: 1775 Grand Concource - 4th Floor, Bronx, NY 10457
County: Bronx
Country: United States
Single or Primary Contact: James Dunne
Contact Phone: (718) 518-5197
CLIA #: 33D2192885
Tests:
09/15/2026