CLIA lab
CLIA 24D1026912: Cub Pharmacy #1634
Forest Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1026912 belongs to Cub Pharmacy #1634 in Forest Lake, MN.
Certificate of Waiver, effective June 17, 2026, expires June 16, 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 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 2004
- 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
- 24D1026912
- Lab name
- Cub Pharmacy #1634
- Address
- 2013 Broadway Avenue W, Forest Lake, MN 55025
- Phone
- (651) 982-4603
- Fax
- (651) 982-4626
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 Forest Lake, MN
- Abode Hospice and Homecare of MN, LLCCertificate of Waiver, Hospice24D2274341
- Ailmend Health, LLCCertificate of Waiver, Other practitioner24D2342903
- Allina Health Forest Lake ClinicCertificate of Waiver, Community clinic24D0398200
- Amira Choice Forest Lake LLCCertificate of Waiver, Assisted living facility24D2096782
- Birchwood Arbors LLCCertificate of Waiver, Home health agency24D1031092
- Birchwood Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D0672227
- Evygabs Healthcare Systems LLCCertificate of Waiver, Assisted living facility24D2292517
- Lakes International Language AcademyCertificate of Waiver, School or student health service24D2233492
- Lakes Life Care CenterCertificate of Waiver, Community clinic24D0891414
- MN Concierge Nursing ServicesCertificate of Waiver, Home health agency24D2341669
Related
Questions
What is the CLIA number for Cub Pharmacy #1634 in Forest Lake?
24D1026912, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy #1634 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1026912 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.