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: 1720536915

Taxonomy: 282NC0060X - General Acute Care Hospital
Definition to come.

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	5204326587

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This page was last updated on: 5/19/2019