31D2256111 CLIA NUMBER - ACME PHARMACY #1095

Laboratory Demographics

  • CLIA Code: 31D2256111
  • Facility Name: ACME PHARMACY #1095
  • Facility Address: 45 DE MERCURIO DR
    ALLENDALE, NJ
    ZIP 07401
  • Facility Phone: 201 934-3333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAHA ABDELJABBAR
  • NPI Number: 1821508367
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2256111
LAB Type Pharmacy
Facility Name ACME PHARMACY #1095
Street 45 DE MERCURIO DR
City ALLENDALE
State NJ
ZIP 07401
Phone 201 934-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Pharmacy
Lab Director BAHA ABDELJABBAR

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