CLIA lab
CLIA 24D2080035: Cub Pharmacy #1957
Plymouth, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2080035 belongs to Cub Pharmacy #1957 in Plymouth, MN.
Certificate of Waiver, effective June 30, 2026, expires June 29, 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
- June 30, 2026
- Certificate expiration
- June 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 30, 2014
- 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
- 24D2080035
- Lab name
- Cub Pharmacy #1957
- Address
- 10200 Sixth Avenue North, Plymouth, MN 55441
- Phone
- (763) 546-2311
- Fax
- (763) 543-5599
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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- Allina Health Plymouth ClinicCertificate of Waiver, Community clinic24D0899825
- Amira Choice Plymouth LLCCertificate of Waiver, Assisted living facility24D2140663
- Anw West Health LaboratoryCertificate of Waiver, Ancillary test site24D2069845
- Anw West Health, IncCertificate of Accreditation, Ancillary test site24D0891602
- Any Lab Test NowCertificate of Waiver, Independent24D2021228
- Balanced Chiropractic LLCCertificate of Waiver, Other24D2179401
- Bayada Home Health Care IncCertificate of Waiver, Home health agency24D0983661
- Cub Pharmacy #1633Certificate of Waiver, Pharmacy24D1067672
- Cub Pharmacy #1650Certificate of Waiver, Pharmacy24D1067467
Related
Questions
What is the CLIA number for Cub Pharmacy #1957 in Plymouth?
24D2080035, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy #1957 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2080035 expire?
The CMS file lists June 29, 2028 as the certificate expiration date; the certificate took effect June 30, 2026.