03D0531844 CLIA NUMBER - COPPER QUEEN COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 03D0531844
  • Facility Name: COPPER QUEEN COMMUNITY HOSPITAL
  • Facility Address: 101 COLE AVE
    BISBEE, AZ
    ZIP 85603
  • Facility Phone: 520 432-6572
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: MAX S. MIROT
  • NPI Number: 1720536915
  • Taxonomy: 282NC0060X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0531844
LAB Type Hospital
Facility Name COPPER QUEEN COMMUNITY HOSPITAL
Street 101 COLE AVE
City BISBEE
State AZ
ZIP 85603
Phone 520 432-6572
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Hospital
Lab Director MAX S. MIROT

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