CLIA lab
CLIA 24D2123593: Cub Pharmacy #1592
Blaine, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2123593 belongs to Cub Pharmacy #1592 in Blaine, MN.
Certificate of Waiver, effective December 27, 2024, expires December 26, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 27, 2024
- Certificate expiration
- December 26, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 27, 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
- 24D2123593
- Lab name
- Cub Pharmacy #1592
- Address
- 10881 University Ave NE, Blaine, MN 55434
- Phone
- (763) 767-8271
- Fax
- (763) 772-0871
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 Blaine, MN
- Adequate Home Care LLCCertificate of Waiver, Assisted living facility24D2189175
- Allina Health Blaine ClinicCertificate of Waiver, Community clinic24D1097783
- American Current Care of Minnesota, PACertificate of Waiver, Physician office24D2126808
- Ascendcare Home Health Solutions LLCCertificate of Waiver, Home health agency24D2315230
- Associated Skin Care SpecialistsCertificate for Provider-Performed Microscopy Procedures, Physician office24D0680318
- Blaine ASC LLCCertificate of Waiver, Ambulatory surgery center24D2147126
- Blaine Eye ClinicCertificate of Waiver, Physician office24D2228198
- Blaine Health Services LLCCertificate of Waiver, Assisted living facility24D2330930
- Blaine WP II, LLCCertificate of Waiver, Assisted living facility24D2097108
- Blaine White PineCertificate of Waiver, Assisted living facility24D2050105
Related
Questions
What is the CLIA number for Cub Pharmacy #1592 in Blaine?
24D2123593, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cub Pharmacy #1592 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2123593 expire?
The CMS file lists December 26, 2026 as the certificate expiration date; the certificate took effect December 27, 2024.