31D2274626 CLIA NUMBER - ACME PHARMACY #1054

Laboratory Demographics

  • CLIA Code: 31D2274626
  • Facility Name: ACME PHARMACY #1054
  • Facility Address: 136 LAKE AVE
    MIDLAND PARK, NJ
    ZIP 07432
  • Facility Phone: 201 493-7055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDDIE PERON
  • NPI Number: 1558738849
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2274626
LAB Type Pharmacy
Facility Name ACME PHARMACY #1054
Street 136 LAKE AVE
City MIDLAND PARK
State NJ
ZIP 07432
Phone 201 493-7055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Pharmacy
Lab Director EDDIE PERON

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