CLIA lab

CLIA 24D1089059: Cub Pharmacy #1657

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

CLIA number 24D1089059 belongs to Cub Pharmacy #1657 in Lakeville, MN.

Certificate of Waiver, effective September 10, 2026, expires September 9, 2028.

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
September 10, 2026
Certificate expiration
September 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 10, 2008
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
24D1089059
Lab name
Cub Pharmacy #1657
Address
20250 Heritage Drive, Lakeville, MN 55044
Phone
(952) 469-8404
Fax
(952) 469-8499

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 Lakeville, MN

Related

Questions

What is the CLIA number for Cub Pharmacy #1657 in Lakeville?

24D1089059, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cub Pharmacy #1657 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1089059 expire?

The CMS file lists September 9, 2028 as the certificate expiration date; the certificate took effect September 10, 2026.

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