CLIA lab
CLIA 24D1067469: Cub Pharmacy #1604
Apple Valley, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1067469 belongs to Cub Pharmacy #1604 in Apple Valley, 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
- 24D1067469
- Lab name
- Cub Pharmacy #1604
- Address
- 15350 Cedar Avenue, Apple Valley, MN 55124
- Phone
- (952) 431-2221
- Fax
- (952) 432-7283
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 Apple Valley, MN
- Allina Health Apple Valley ClinicCertificate of Accreditation, Community clinic24D0399855
- Amazing Grace Care LLCCertificate of Waiver, Assisted living facility24D2329940
- Apple Valley VillaCertificate of Waiver, Assisted living facility24D2000359
- Arcpoint Labs of Apple ValleyCertificate of Waiver, Independent24D2140384
- Augustana Health Care Center of Apple ValleyCertificate of Waiver, Skilled nursing or nursing facility24D0399858
- Augustana Open Circle of Apple ValleyCertificate of Waiver, Other24D2261230
- Bayview Case ManagementCertificate of Waiver, Assisted living facility24D2225863
- Bright Haven LLCCertificate of Waiver, Assisted living facility24D2344715
- Dakota County Public Health Dept - Wic ProgramCertificate of Waiver, Other24D0858760
- Eagan Valley PediatricsCertificate of Compliance, Physician office24D0978828
Related
Questions
What is the CLIA number for Cub Pharmacy #1604 in Apple Valley?
24D1067469, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy #1604 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1067469 expire?
The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.