CLIA lab
CLIA 24D2099668: Sam's Pharmacy 10-6309
White Bear Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2099668 belongs to Sam's Pharmacy 10-6309 in White Bear Lake, MN.
Certificate of Waiver, effective July 30, 2025, expires July 29, 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
- July 30, 2025
- Certificate expiration
- July 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 30, 2015
- 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
- 24D2099668
- Lab name
- Sam's Pharmacy 10-6309
- Address
- 1850 Buerkle Road, White Bear Lake, MN 55110
- Phone
- (651) 779-6710
- Fax
- (651) 779-7241
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Agape Hospice IncCertificate of Waiver, Hospice24D2330380
- Caring Hands Homecare LLCCertificate of Waiver, Home health agency24D2339957
- Cerenity Residence of White Bear LakeCertificate of Waiver, Assisted living facility24D2016500
- Cerenity Senior Care - White Bear LakeCertificate of Waiver, Skilled nursing or nursing facility24D0680791
- Cub Pharmacy #1591Certificate of Waiver, Pharmacy24D2107535
- Cub Pharmacy #1918Certificate of Waiver, Pharmacy24D1067474
- Curana Health Clinic at White Bear LakeCertificate of Waiver, Physician office24D2332918
- Evangelia Wold Inc DBA Symphony Senior Home CareCertificate of Waiver, Home health agency24D2286562
Related
Questions
What is the CLIA number for Sam's Pharmacy 10-6309 in White Bear Lake?
24D2099668, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Pharmacy 10-6309 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2099668 expire?
The CMS file lists July 29, 2027 as the certificate expiration date; the certificate took effect July 30, 2025.