24D2080071 CLIA NUMBER - CUB PHARMACY #1952

Laboratory Demographics

  • CLIA Code: 24D2080071
  • Facility Name: CUB PHARMACY #1952
  • Facility Address: 1540 NEW BRIGHTON BOULEVARD
    MINNEAPOLIS, MN
    ZIP 55413
  • Facility Phone: 612 788-4246
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HYUN YONG KIM
  • NPI Number: 1891106423
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2080071
LAB Type Pharmacy
Facility Name CUB PHARMACY #1952
Street 1540 NEW BRIGHTON BOULEVARD
City MINNEAPOLIS
State MN
ZIP 55413
Phone 612 788-4246
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 HYUN YONG KIM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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