03D2006521 CLIA NUMBER - COCHISE EYE & LASER

Laboratory Demographics

  • CLIA Code: 03D2006521
  • Facility Name: COCHISE EYE & LASER
  • Facility Address: 2445 E WILCOX DR
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 520 458-8131
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GARY L. BROCK
  • NPI Number: 1588665269
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2006521
LAB Type Ambulatory Surgery Center
Facility Name COCHISE EYE & LASER
Street 2445 E WILCOX DR
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 458-8131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Ambulatory Surgery Center
Lab Director GARY L. BROCK

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