24D1067657 CLIA NUMBER - CUB PHARMACY #1641

Laboratory Demographics

  • CLIA Code: 24D1067657
  • Facility Name: CUB PHARMACY #1641
  • Facility Address: 3717 LEXINGTON AVENUE NORTH
    ARDEN HILLS, MN
    ZIP 55126
  • Facility Phone: 651 483-1504
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN BRANDS
  • NPI Number: 1275648313
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1067657
LAB Type Pharmacy
Facility Name CUB PHARMACY #1641
Street 3717 LEXINGTON AVENUE NORTH
City ARDEN HILLS
State MN
ZIP 55126
Phone 651 483-1504
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 JOHN BRANDS

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