03D2000564 CLIA NUMBER - SIMONMED IMAGING - THOMAS

Laboratory Demographics

  • CLIA Code: 03D2000564
  • Facility Name: SIMONMED IMAGING - THOMAS
  • Facility Address: 2830 N 3RD STREET
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 274-1919
  • Facility Type: Other - IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: HOWARD JOHN SIMON
  • NPI Number: 1336409200
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2000564
LAB Type Other - IMAGING CENTER
Facility Name SIMONMED IMAGING - THOMAS
Street 2830 N 3RD STREET
City PHOENIX
State AZ
ZIP 85004
Phone 602 274-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Other - IMAGING CENTER
Lab Director HOWARD JOHN SIMON

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