CLIA lab
CLIA 24D2080070: Cub Pharmacy #1955
Roseville, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2080070 belongs to Cub Pharmacy #1955 in Roseville, 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
- 24D2080070
- Lab name
- Cub Pharmacy #1955
- Address
- 1201 West Larpenteur Avenue, Roseville, MN 55113
- Phone
- (651) 489-8620
- Fax
- (651) 489-8591
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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- Advance Recovery CenterCertificate of Waiver, Independent24D2320022
- Amira Choice Roseville LLCCertificate of Waiver, Assisted living facility24D2042716
- Amira Choice Roseville at LexingtonCertificate of Waiver, Assisted living facility24D2134718
- Arkhaven Home Care, LLCCertificate of Waiver, Assisted living facility24D2212322
- Arthur's Senior Care - Alta VistaCertificate of Waiver, Skilled nursing or nursing facility24D1103256
- Ayya Assisted LivingCertificate of Waiver, Assisted living facility24D2323762
- Central Pediatrics PACertificate of Accreditation, Physician office24D0399059
- Children's Minnesota Partial HospitalizationCertificate of Waiver, Other24D2273024
- City of Roseville Fire DepartmentCertificate of Waiver, Other24D2237186
Related
Questions
What is the CLIA number for Cub Pharmacy #1955 in Roseville?
24D2080070, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy #1955 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2080070 expire?
The CMS file lists June 29, 2028 as the certificate expiration date; the certificate took effect June 30, 2026.