03D2162717 CLIA NUMBER - SMI IMAGING, LLC DBA SIMONMED IMAGING - YUMA

Laboratory Demographics

  • CLIA Code: 03D2162717
  • Facility Name: SMI IMAGING, LLC DBA SIMONMED IMAGING - YUMA
  • Facility Address: 2500 S 8TH AVENUE
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 602 688-6116
  • Facility Type: Other - OP MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1386240224
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2162717
LAB Type Other - OP MEDICAL IMAGING
Facility Name SMI IMAGING, LLC DBA SIMONMED IMAGING - YUMA
Street 2500 S 8TH AVENUE
City YUMA
State AZ
ZIP 85364
Phone 602 688-6116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Other - OP MEDICAL IMAGING
Lab Director HOWARD J. SIMON

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