24D1067670 CLIA NUMBER - CUB PHARMACY # 1607

Laboratory Demographics

  • CLIA Code: 24D1067670
  • Facility Name: CUB PHARMACY # 1607
  • Facility Address: 2201 FIRST STREET SOUTH
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 320 214-8502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLI MCCANN
  • NPI Number: 1922113067
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1067670
LAB Type Pharmacy
Facility Name CUB PHARMACY # 1607
Street 2201 FIRST STREET SOUTH
City WILLMAR
State MN
ZIP 56201
Phone 320 214-8502
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 KAYLI MCCANN

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