24D2080074 CLIA NUMBER - CUB PHARMACY #1595

Laboratory Demographics

  • CLIA Code: 24D2080074
  • Facility Name: CUB PHARMACY #1595
  • Facility Address: 5370 WEST 16TH STREET
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Facility Phone: 952 546-1951
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARRIE NEWTON
  • NPI Number: 1760893374
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2080074
LAB Type Pharmacy
Facility Name CUB PHARMACY #1595
Street 5370 WEST 16TH STREET
City SAINT LOUIS PARK
State MN
ZIP 55416
Phone 952 546-1951
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 CARRIE NEWTON

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