24D1067654 CLIA NUMBER - CUB PHARMACY #1939

Laboratory Demographics

  • CLIA Code: 24D1067654
  • Facility Name: CUB PHARMACY #1939
  • Facility Address: 701 WEST BROADWAY AVE
    MINNEAPOLIS, MN
    ZIP 55411
  • Facility Phone: 612 302-8740
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH MOLASKY
  • NPI Number: 1801901947
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1067654
LAB Type Pharmacy
Facility Name CUB PHARMACY #1939
Street 701 WEST BROADWAY AVE
City MINNEAPOLIS
State MN
ZIP 55411
Phone 612 302-8740
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 SARAH MOLASKY

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