24D2080032 CLIA NUMBER - CUB PHARMACY #1956

Laboratory Demographics

  • CLIA Code: 24D2080032
  • Facility Name: CUB PHARMACY #1956
  • Facility Address: 200 PIONEER TRAIL
    CHASKA, MN
    ZIP 55318
  • Facility Phone: 952 448-9809
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSEY PLATEK
  • NPI Number: 1326459967
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2080032
LAB Type Pharmacy
Facility Name CUB PHARMACY #1956
Street 200 PIONEER TRAIL
City CHASKA
State MN
ZIP 55318
Phone 952 448-9809
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 LINDSEY PLATEK

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