31D2274636 CLIA NUMBER - ACME PHARMACY #1077

Laboratory Demographics

  • CLIA Code: 31D2274636
  • Facility Name: ACME PHARMACY #1077
  • Facility Address: 123 E MAIN ST - STE 125
    DENVILLE, NJ
    ZIP 07834
  • Facility Phone: 973 586-2217
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROWENA VERANO
  • NPI Number: 1487164919
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2274636
LAB Type Pharmacy
Facility Name ACME PHARMACY #1077
Street 123 E MAIN ST - STE 125
City DENVILLE
State NJ
ZIP 07834
Phone 973 586-2217
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 ROWENA VERANO

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