03D2089133 CLIA NUMBER - WILBUR DON DUQUE

Laboratory Demographics

  • CLIA Code: 03D2089133
  • Facility Name: WILBUR DON DUQUE
  • Facility Address: 1773 W 24TH ST STE B
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 955-0002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILBUR D. DUQUE
  • NPI Number: 1548464100
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2089133
LAB Type Physician Office
Facility Name WILBUR DON DUQUE
Street 1773 W 24TH ST STE B
City YUMA
State AZ
ZIP 85364
Phone 928 955-0002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director WILBUR D. DUQUE

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