CLIA lab
CLIA 24D1067490: Cub Pharmacy #1924
Saint Louis Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1067490 belongs to Cub Pharmacy #1924 in Saint Louis Park, 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
- 24D1067490
- Lab name
- Cub Pharmacy #1924
- Address
- 3620 Texas Avenue South, Saint Louis Park, MN 55426
- Phone
- (952) 933-3177
- Fax
- (952) 933-4187
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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- Brighton Hospice Minnesota LLCCertificate of Waiver, Hospice24D2076265
- Caring Sisters Home CareCertificate of Waiver, Home health agency24D1035149
- Cedar Ridge PlaceCertificate of Waiver, Assisted living facility24D2081431
- Children's MN Partners in PediatricsCertificate of Accreditation, Physician office24D0401675
- Comfort Care CenterCertificate of Waiver, Assisted living facility24D2266749
- Concerto Minnesota LLCCertificate of Waiver, End stage renal disease dialysis facility24D2303527
- Ct/Mri Imaging CenterCertificate of Waiver, Ancillary test site24D2077370
- Cub Pharmacy #1595Certificate of Waiver, Pharmacy24D2080074
- Ear, Nose & Throat Specialty Care of MN, PACertificate of Waiver, Physician office24D2281084
Related
Questions
What is the CLIA number for Cub Pharmacy #1924 in Saint Louis Park?
24D1067490, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy #1924 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1067490 expire?
The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.