03D2115537 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - ST MARY'S

Laboratory Demographics

  • CLIA Code: 03D2115537
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - ST MARY'S
  • Facility Address: 1313 W ST MARY'S RD
    TUCSON, AZ
    ZIP 85745
  • Facility Phone: 520 449-8115
  • Facility Type: Other - MEDICAL OUTPATIENT IMAGIN
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1417403304
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2115537
LAB Type Other - MEDICAL OUTPATIENT IMAGIN
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING - ST MARY'S
Street 1313 W ST MARY'S RD
City TUCSON
State AZ
ZIP 85745
Phone 520 449-8115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Other - MEDICAL OUTPATIENT IMAGIN
Lab Director HOWARD J. SIMON

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