24D1067647 CLIA NUMBER - CUB PHARMACY #1639

Laboratory Demographics

  • CLIA Code: 24D1067647
  • Facility Name: CUB PHARMACY #1639
  • Facility Address: 7850 CAHILL DRIVE
    INVER GROVE HEIGHTS, MN
    ZIP 55076
  • Facility Phone: 651 450-0676
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CALLIE VIEIRA
  • NPI Number: 1093820136
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1067647
LAB Type Pharmacy
Facility Name CUB PHARMACY #1639
Street 7850 CAHILL DRIVE
City INVER GROVE HEIGHTS
State MN
ZIP 55076
Phone 651 450-0676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Pharmacy
Lab Director CALLIE VIEIRA

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