CLIA lab

CLIA 24D1067470: Cub Pharmacy #1916

Minnetonka, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D1067470 belongs to Cub Pharmacy #1916 in Minnetonka, 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
24D1067470
Lab name
Cub Pharmacy #1916
Address
4801 Highway 101, Minnetonka, MN 55345
Phone
(952) 935-1053
Fax
(952) 935-5388

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 Minnetonka, MN

Related

Questions

What is the CLIA number for Cub Pharmacy #1916 in Minnetonka?

24D1067470, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cub Pharmacy #1916 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1067470 expire?

The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.

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