24D1067502 CLIA NUMBER - CUB PHARMACY #1636

Laboratory Demographics

  • CLIA Code: 24D1067502
  • Facility Name: CUB PHARMACY #1636
  • Facility Address: 23800 STATE HIGHWAY 7
    SHOREWOOD, MN
    ZIP 55331
  • Facility Phone: 952 401-3990
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN BRABAND
  • NPI Number: 1548375686
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1067502
LAB Type Pharmacy
Facility Name CUB PHARMACY #1636
Street 23800 STATE HIGHWAY 7
City SHOREWOOD
State MN
ZIP 55331
Phone 952 401-3990
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 MEGAN BRABAND

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