03D0952625 CLIA NUMBER - COPPER QUEEN MEDICAL ASSOCIATES - BISBEE

Laboratory Demographics

  • CLIA Code: 03D0952625
  • Facility Name: COPPER QUEEN MEDICAL ASSOCIATES - BISBEE
  • Facility Address: 7 BISBEE RD
    BISBEE, AZ
    ZIP 85603
  • Facility Phone: 520 432-2042
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEGGY M. AVINA
  • NPI Number: 1245986975
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0952625
LAB Type Physician Office
Facility Name COPPER QUEEN MEDICAL ASSOCIATES - BISBEE
Street 7 BISBEE RD
City BISBEE
State AZ
ZIP 85603
Phone 520 432-2042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director PEGGY M. AVINA

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