03D1098132 CLIA NUMBER - SIMONMED IMAGING - DESERT RIDGE

Laboratory Demographics

  • CLIA Code: 03D1098132
  • Facility Name: SIMONMED IMAGING - DESERT RIDGE
  • Facility Address: 20830 N TATUM BLVD STE 190
    PHOENIX, AZ
    ZIP 85050
  • Facility Phone: 480 306-7900
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON MD
  • NPI Number: 1750514998
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D1098132
LAB Type Other
Facility Name SIMONMED IMAGING - DESERT RIDGE
Street 20830 N TATUM BLVD STE 190
City PHOENIX
State AZ
ZIP 85050
Phone 480 306-7900
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
Lab Director HOWARD J. SIMON MD

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