CLIA lab
CLIA 03D0969812: Copper Queen Medical Associates - Douglas
Douglas, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0969812 belongs to Copper Queen Medical Associates - Douglas in Douglas, AZ.
Certificate of Waiver, effective August 2, 2025, expires August 1, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 2, 2025
- Certificate expiration
- August 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2000
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D0969812
- Lab name
- Copper Queen Medical Associates - Douglas
- Address
- 100 E Fifth St Bldg B, Douglas, AZ 85607
- Phone
- (520) 432-6587
- Fax
- (520) 432-8034
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Douglas, AZ
- CSL Plasma, IncCertificate of Compliance, Other03D2131981
- Cchci Pediatric Center of ExcellenceCertificate of Waiver, Federally qualified health center03D2018941
- City of Douglas Fire DepartmentCertificate of Waiver, Ambulance03D1027020
- Community Health Associates, LLCCertificate of Waiver, Community clinic03D2098231
- Copper Queen Community HospitalCertificate of Compliance, Other03D2124326
- Dci-Douglas Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility03D1085107
- Douglas - Acute Care ClinicCertificate of Waiver, Federally qualified health center03D2278096
- Douglas Family Care, PLLCCertificate of Waiver, Physician office03D1076482
- Early Childhood Center of ExcellenceCertificate of Waiver, Federally qualified health center03D2150404
- Ginger Ryan ClinicCertificate of Waiver, Federally qualified health center03D1003646
Related
Questions
What is the CLIA number for Copper Queen Medical Associates - Douglas in Douglas?
03D0969812, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Copper Queen Medical Associates - Douglas hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0969812 expire?
The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.