CLIA lab

CLIA 03D2124326: Copper Queen Community Hospital

Douglas, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2124326 belongs to Copper Queen Community Hospital in Douglas, AZ.

Certificate of Compliance, effective June 21, 2026, expires June 20, 2028.

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 Compliance
Certificate effective
June 21, 2026
Certificate expiration
June 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 13, 2017
Facility type
Other
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
03D2124326
Lab name
Copper Queen Community Hospital
Additional name
Ed Department Douglas
Address
100 E 5th St, Douglas, AZ 85607
Phone
(520) 432-6587
Fax
(520) 432-8034

Annual test volume the lab reported

Waived tests
4,000
Provider-performed microscopy tests
2,000
Other nonwaived tests
140,600
Total
146,600

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

Related

Questions

What is the CLIA number for Copper Queen Community Hospital in Douglas?

03D2124326, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Copper Queen Community Hospital hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 03D2124326 expire?

The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.

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