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Laboratories	Expiration Date
Brooklyn MSR PFI: W987 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael S Richheimer, M.D. Phone: (718) 383-3377 Fax: (718) 383-3606 Address: 833 Manhattan Ave, Brooklyn, NY 11222 County: Kings Country: United States Single or Primary Contact: Ms. Nilsa Banks Contact Phone: (516) 622-6041 CLIA #: 33D1069417 Tests: Glucose Strep A Test Urinalysis Record last changed Oct 18, 2018 ·	04/25/2019	Print
Premier Ambulatory Surgery Center PFI: X279 Secondary Site ID: 0000 Certification Type: WAIVER Director: Vishal Sharma, M.D. Phone: (716) 348-2759 Fax: (716) 934-2040 Address: 5844 Southwestern Blvd - Suite 700, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Ms. Elaine Tam Contact Phone: (716) 525-4915 CLIA #: 33D2143593 Tests: Glucose Pregnancy Test (Urine) Record last changed Oct 18, 2018 ·	02/02/2020	Print
Child and Family Guidance Center Addiction Services Step One Clinic PFI: X802 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd A Rochman, M.D. Phone: (845) 647-5400 Fax: (845) 647-5419 Address: 83 N Main Street, Ellenville, NY 12428 County: Ulster Country: United States Single or Primary Contact: Ms. Erin Brunette Contact Phone: (845) 647-5400 CLIA #: 33D2156394 Tests: Breath Alcohol Drugs of Abuse Record last changed Oct 18, 2018 ·	10/17/2020	Print
The Addiction Center of Broome County Inc PFI: X832 Secondary Site ID: 0000 Certification Type: WAIVER Director: Tara Belsare, M.D. Phone: (607) 723-7308 Fax: (607) 724-4626 Address: 30 W State Street, Binghamton, NY 13901 County: Broome Country: United States Single or Primary Contact: Ms. Carmela Pirich Contact Phone: (607) 723-7308 CLIA #: 33D2156412 Tests: Breath Alcohol Drugs of Abuse Pregnancy Test (Urine) Record last changed Oct 18, 2018 ·	10/17/2020	Print
NY-Presby Brooklyn Meth Hosp, Rehab Ctr, Women and Children's Clinics PFI: X852 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sadiqa Karim, M.D. Phone: (718) 246-8539 Fax: (718) 246-8511 Address: 263 7th Ave - 3rd Floor, Brooklyn, NY 11215 County: Kings Country: United States Single or Primary Contact: Mr. D D Ramdeo Contact Phone: (718) 780-3083 CLIA #: 33D2156416 Tests: Glucose Hemoglobin Pregnancy Test (Urine) Strep A Test Urinalysis Record last changed Oct 18, 2018 ·	10/17/2020	Print

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