31D2130893 CLIA NUMBER - ACME PHARMACY # 1058

Laboratory Demographics

  • CLIA Code: 31D2130893
  • Facility Name: ACME PHARMACY # 1058
  • Facility Address: 125 FRANKLIN TURNPIKE
    MAHWAH, NJ
    ZIP 07430
  • Facility Phone: 201 529-9760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSY JOHN
  • NPI Number: 1679940654
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2130893
LAB Type Pharmacy
Facility Name ACME PHARMACY # 1058
Street 125 FRANKLIN TURNPIKE
City MAHWAH
State NJ
ZIP 07430
Phone 201 529-9760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director JESSY JOHN

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This page was last updated on: 9/29/2025