CLIA lab
CLIA 14D1055047: Cub Pharmacy #1625
Freeport, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1055047 belongs to Cub Pharmacy #1625 in Freeport, IL.
Certificate of Waiver, effective June 7, 2026, expires June 6, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 7, 2026
- Certificate expiration
- June 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 7, 2006
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1055047
- Lab name
- Cub Pharmacy #1625
- Additional name
- Supervalu Pharmacies, Inc
- Address
- 1512 S West Ave, Freeport, IL 61032
- Phone
- (815) 297-0881
- Fax
- (815) 297-0972
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Freeport, IL
- Advanced Dermatology Clinic IncCertificate of Waiver, Physician office14D2162955
- Ascension Saint Joseph VillageCertificate of Waiver, Skilled nursing or nursing facility14D0646721
- Cvs/Pharmacy #08540Certificate of Waiver, Pharmacy14D2283732
- Driftwood Dialysis (DBA)Certificate of Waiver, End stage renal disease dialysis facility14D2043478
- F H N Family Healthcare Center-Burchard HillsCertificate of Waiver, Physician office14D1093273
- F H N Family Healthcare Center-StephenCertificate of Waiver, Physician office14D0944834
- FHN Family Healthcare Center- OBCertificate for Provider-Performed Microscopy Procedures, Physician office14D0946014
- FHN Family Healthcare Center-Highland ViewCertificate of Waiver, Physician office14D0429677
- FHN Leonard Ferguson Cancer CenterCertificate of Waiver, Ancillary test site14D2271560
- FHN Specialty Care - Harlem AvenueCertificate of Waiver, Physician office14D2290846
Related
Questions
What is the CLIA number for Cub Pharmacy #1625 in Freeport?
14D1055047, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy #1625 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1055047 expire?
The CMS file lists June 6, 2028 as the certificate expiration date; the certificate took effect June 7, 2026.