03D2070257 CLIA NUMBER - SIMONMED IMAGING - SURPRISE

Laboratory Demographics

  • CLIA Code: 03D2070257
  • Facility Name: SIMONMED IMAGING - SURPRISE
  • Facility Address: 14823 W BELL RD STE 110
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 302-7900
  • Facility Type: Other - MEDICAL RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1568784353
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2070257
LAB Type Other - MEDICAL RADIOLOGY
Facility Name SIMONMED IMAGING - SURPRISE
Street 14823 W BELL RD STE 110
City SURPRISE
State AZ
ZIP 85374
Phone 623 302-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Other - MEDICAL RADIOLOGY
Lab Director HOWARD J. SIMON

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