03D1104350 CLIA NUMBER - SIMONMED IMAGING - ROME TOWERS

Laboratory Demographics

  • CLIA Code: 03D1104350
  • Facility Name: SIMONMED IMAGING - ROME TOWERS
  • Facility Address: 1760 E PECOS RD #101
    GILBERT, AZ
    ZIP 85295
  • Facility Phone: 480 553-8999
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: HOWARD JOHN SIMON
  • NPI Number: 1356574537
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D1104350
LAB Type Other
Facility Name SIMONMED IMAGING - ROME TOWERS
Street 1760 E PECOS RD #101
City GILBERT
State AZ
ZIP 85295
Phone 480 553-8999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Other
Lab Director HOWARD JOHN SIMON

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