CLIA lab
CLIA 24D2255999: Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #03054
Mankato, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2255999 belongs to Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #03054 in Mankato, MN.
Certificate of Waiver, effective March 20, 2026, expires March 19, 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
- March 20, 2026
- Certificate expiration
- March 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 20, 2022
- 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
- 24D2255999
- Lab name
- Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #03054
- Address
- 1175 Madison Ave, Mankato, MN 56001
- Phone
- (866) 389-2727
- Fax
- (401) 652-1360
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #03054 in Mankato?
24D2255999, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #03054 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2255999 expire?
The CMS file lists March 19, 2028 as the certificate expiration date; the certificate took effect March 20, 2026.