03D2162808 CLIA NUMBER - SMI IMAGING LLC DBA SIMONMED IMAGING - LITCHFIELD

Laboratory Demographics

  • CLIA Code: 03D2162808
  • Facility Name: SMI IMAGING LLC DBA SIMONMED IMAGING - LITCHFIELD
  • Facility Address: 1325 N LITCHFIELD ROAD SUITE 115
    GOODYEAR, AZ
    ZIP 85395
  • Facility Phone: 602 888-6116
  • Facility Type: Other - OP MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: HOWARD J. SIMON
  • NPI Number: 1679179154
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2162808
LAB Type Other - OP MEDICAL IMAGING
Facility Name SMI IMAGING LLC DBA SIMONMED IMAGING - LITCHFIELD
Street 1325 N LITCHFIELD ROAD SUITE 115
City GOODYEAR
State AZ
ZIP 85395
Phone 602 888-6116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Other - OP MEDICAL IMAGING
Lab Director HOWARD J. SIMON

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