03D0938775 CLIA NUMBER - COPPERSTATE OB/GYN

Laboratory Demographics

  • CLIA Code: 03D0938775
  • Facility Name: COPPERSTATE OB/GYN
  • Facility Address: 5550 E HAMPTON ST
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 520 721-8605
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WALTER S. PATTON
  • NPI Number: 1992779326
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D0938775
LAB Type Physician Office
Facility Name COPPERSTATE OB/GYN
Street 5550 E HAMPTON ST
City TUCSON
State AZ
ZIP 85712
Phone 520 721-8605
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director WALTER S. PATTON

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