31D2130896 CLIA NUMBER - ACME PHARMACY # 1083

Laboratory Demographics

  • CLIA Code: 31D2130896
  • Facility Name: ACME PHARMACY # 1083
  • Facility Address: 125 18TH STREET
    JERSEY CITY, NJ
    ZIP 07310
  • Facility Phone: 201 418-0585
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANA YI-SUH
  • NPI Number: 1386154813
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2130896
LAB Type Pharmacy
Facility Name ACME PHARMACY # 1083
Street 125 18TH STREET
City JERSEY CITY
State NJ
ZIP 07310
Phone 201 418-0585
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 HANA YI-SUH

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