24D2032446 CLIA NUMBER - CUB PHARMACY #1950

Laboratory Demographics

  • CLIA Code: 24D2032446
  • Facility Name: CUB PHARMACY #1950
  • Facility Address: 10520 FRANCE AVE SOUTH
    BLOOMINGTON, MN
    ZIP 55431
  • Facility Phone: 952 888-4310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RANDY KUMMERFELDT
  • NPI Number: 1992946446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2032446
LAB Type Pharmacy
Facility Name CUB PHARMACY #1950
Street 10520 FRANCE AVE SOUTH
City BLOOMINGTON
State MN
ZIP 55431
Phone 952 888-4310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Pharmacy
Lab Director RANDY KUMMERFELDT

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