24D1067479 CLIA NUMBER - CUB PHARMACY #1921

Laboratory Demographics

  • CLIA Code: 24D1067479
  • Facility Name: CUB PHARMACY #1921
  • Facility Address: 8432 TAMARACK VILLAGE
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: (651) 702-1032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BOBBI CIPALA
  • NPI Number: 1841305984
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1067479
LAB Type Pharmacy
Facility Name CUB PHARMACY #1921
Street 8432 TAMARACK VILLAGE
City WOODBURY
State MN
ZIP 55125
Phone 6517021032
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 BOBBI CIPALA

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: 5/18/2026