CLIA lab

CLIA 24D2107535: Cub Pharmacy #1591

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

CLIA number 24D2107535 belongs to Cub Pharmacy #1591 in White Bear Lake, MN.

Certificate of Waiver, effective January 15, 2026, expires January 14, 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
January 15, 2026
Certificate expiration
January 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 2016
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
24D2107535
Lab name
Cub Pharmacy #1591
Address
1920 Buerkle Road, White Bear Lake, MN 55110
Phone
(651) 777-2350
Fax
(651) 777-2537

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 White Bear Lake, MN

Related

Questions

What is the CLIA number for Cub Pharmacy #1591 in White Bear Lake?

24D2107535, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cub Pharmacy #1591 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2107535 expire?

The CMS file lists January 14, 2028 as the certificate expiration date; the certificate took effect January 15, 2026.

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