03D1098119 CLIA NUMBER - SIMONMED IMAGING - AVONDALE

Laboratory Demographics

  • CLIA Code: 03D1098119
  • Facility Name: SIMONMED IMAGING - AVONDALE
  • Facility Address: 10815 W MCDOWELL RD STE 102
    AVONDALE, AZ
    ZIP 85392
  • Facility Phone: 623 433-0121
  • Facility Type: Other - OUTPATIENT RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON, MD
  • NPI Number: 1720211022
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D1098119
LAB Type Other - OUTPATIENT RADIOLOGY
Facility Name SIMONMED IMAGING - AVONDALE
Street 10815 W MCDOWELL RD STE 102
City AVONDALE
State AZ
ZIP 85392
Phone 623 433-0121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Other - OUTPATIENT RADIOLOGY
Lab Director HOWARD J. SIMON, MD

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