24D2080026 CLIA NUMBER - CUB PHARMACY #1589

Laboratory Demographics

  • CLIA Code: 24D2080026
  • Facility Name: CUB PHARMACY #1589
  • Facility Address: 7191 10TH STREET NORTH
    OAKDALE, MN
    ZIP 55128
  • Facility Phone: 651 739-6247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA HELM
  • NPI Number: 1558772194
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2080026
LAB Type Pharmacy
Facility Name CUB PHARMACY #1589
Street 7191 10TH STREET NORTH
City OAKDALE
State MN
ZIP 55128
Phone 651 739-6247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Pharmacy
Lab Director SAMANTHA HELM

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