24D1067658 CLIA NUMBER - CUB PHARMACY #1635

Laboratory Demographics

  • CLIA Code: 24D1067658
  • Facility Name: CUB PHARMACY #1635
  • Facility Address: 1729 MARKET BOULEVARD
    HASTINGS, MN
    ZIP 55033
  • Facility Phone: 651 438-2135
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY J. MARRS
  • NPI Number: 1811002959
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1067658
LAB Type Pharmacy
Facility Name CUB PHARMACY #1635
Street 1729 MARKET BOULEVARD
City HASTINGS
State MN
ZIP 55033
Phone 651 438-2135
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 KELLY J. MARRS

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