31D2257692 CLIA NUMBER - ACME PHARMACY #1099

Laboratory Demographics

  • CLIA Code: 31D2257692
  • Facility Name: ACME PHARMACY #1099
  • Facility Address: 5774 BERKSHIRE VALLEY ROAD
    OAK RIDGE, NJ
    ZIP 07438
  • Facility Phone: 973 697-3310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALYA KISELEVA
  • NPI Number: 1649780180
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2257692
LAB Type Pharmacy
Facility Name ACME PHARMACY #1099
Street 5774 BERKSHIRE VALLEY ROAD
City OAK RIDGE
State NJ
ZIP 07438
Phone 973 697-3310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Pharmacy
Lab Director NATALYA KISELEVA

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