CLIA lab
CLIA 24D1067455: Cub Pharmacy #1658
Burnsville, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1067455 belongs to Cub Pharmacy #1658 in Burnsville, MN.
Certificate of Waiver, effective April 19, 2025, expires April 18, 2027.
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
- April 19, 2025
- Certificate expiration
- April 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 2007
- 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
- 24D1067455
- Lab name
- Cub Pharmacy #1658
- Address
- 300 East Travelers Trail, Burnsville, MN 55337
- Phone
- (952) 894-0712
- Fax
- (952) 895-8943
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.
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- Arijai Aesthietics and WellnessCertificate of Waiver, Physician office24D2117780
Related
Questions
What is the CLIA number for Cub Pharmacy #1658 in Burnsville?
24D1067455, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy #1658 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1067455 expire?
The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.