03D2124326 CLIA NUMBER - COPPER QUEEN COMMUNITY HOSPITAL

Laboratory Demographics

CLIA Number: 03D2124326

Facility Name: COPPER QUEEN COMMUNITY HOSPITAL

Facility Address:
100 E 5TH ST
DOUGLAS, AZ
ZIP 85607
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Facility Phone Number: (520) 432-6587

Facility Type: OTHER

Certificate Type: Certificate of Compliance

NPI Number: 1942217088

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	03D2124326
LAB Type	OTHER
Facility Name	COPPER QUEEN COMMUNITY HOSPITAL
Street	100 E 5TH ST
City	DOUGLAS
State	AZ
ZIP	85607
Phone	(520) 432-6587

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This page was last updated on: 5/11/2023