24D1067465 CLIA NUMBER - CUB PHARMACY #1913

Laboratory Demographics

  • CLIA Code: 24D1067465
  • Facility Name: CUB PHARMACY #1913
  • Facility Address: 2850 26TH AVENUE SOUTH
    MINNEAPOLIS, MN
    ZIP 55406
  • Facility Phone: 612 721-5840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH VO
  • NPI Number: 1497860530
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1067465
LAB Type Pharmacy
Facility Name CUB PHARMACY #1913
Street 2850 26TH AVENUE SOUTH
City MINNEAPOLIS
State MN
ZIP 55406
Phone 612 721-5840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director HANNAH VO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025