CLIA lab
CLIA 24D1067484: Cub Pharmacy # 1629
Saint Anthony, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1067484 belongs to Cub Pharmacy # 1629 in Saint Anthony, 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
- 24D1067484
- Lab name
- Cub Pharmacy # 1629
- Address
- 3930 Silver Lake Road NE, Saint Anthony, MN 55421
- Phone
- (612) 781-6405
- Fax
- (612) 789-8778
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 Saint Anthony, MN
- Abc Home Health Care Plus LLCCertificate of Waiver, Home health agency24D2074401
- Acr SkycroftCertificate of Waiver, Other24D1089554
- Northwest Eye Clinic, LLCCertificate of Waiver, Physician office24D2122618
- ST Anthony Nursing Home Limited PartnershipCertificate of Waiver, Assisted living facility24D2242050
Related
Questions
What is the CLIA number for Cub Pharmacy # 1629 in Saint Anthony?
24D1067484, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy # 1629 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1067484 expire?
The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.