03D0995635 CLIA NUMBER - FREDERICK SIMONIE MD

Laboratory Demographics

  • CLIA Code: 03D0995635
  • Facility Name: FREDERICK SIMONIE MD
  • Facility Address: 10210 N 92ND ST STE 205
    SCOTTSDALE, AZ
    ZIP 85258
  • Facility Phone: 480 314-1189
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FREDERICK S. SIMONIE MD
  • NPI Number: 1932165958
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D0995635
LAB Type Physician Office
Facility Name FREDERICK SIMONIE MD
Street 10210 N 92ND ST STE 205
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 314-1189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director FREDERICK S. SIMONIE MD

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