24D1067501 CLIA NUMBER - CUB PHARMACY #1637

Laboratory Demographics

  • CLIA Code: 24D1067501
  • Facility Name: CUB PHARMACY #1637
  • Facility Address: 2423 SOUTH HIGHWAY 3
    NORTHFIELD, MN
    ZIP 55057
  • Facility Phone: 507 664-9029
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN ULRICH
  • NPI Number: 1639284771
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1067501
LAB Type Pharmacy
Facility Name CUB PHARMACY #1637
Street 2423 SOUTH HIGHWAY 3
City NORTHFIELD
State MN
ZIP 55057
Phone 507 664-9029
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 BRYAN ULRICH

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