03D2089442 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING ARROWHEAD

Laboratory Demographics

  • CLIA Code: 03D2089442
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING ARROWHEAD
  • Facility Address: 6320 W UNION HILLS, DR STE 120
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 535-2820
  • Facility Type: Other - OUTPATIENT MED IMAGINING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1972985125
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2089442
LAB Type Other - OUTPATIENT MED IMAGINING
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING ARROWHEAD
Street 6320 W UNION HILLS, DR STE 120
City GLENDALE
State AZ
ZIP 85308
Phone 602 535-2820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Other - OUTPATIENT MED IMAGINING
Lab Director HOWARD J. SIMON

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This page was last updated on: 6/4/2025