06D2142044 CLIA NUMBER - SMI IMAGING, LLC DBA - SIMONMED IMAGING - PARKER

Laboratory Demographics

  • CLIA Code: 06D2142044
  • Facility Name: SMI IMAGING, LLC DBA - SIMONMED IMAGING - PARKER
  • Facility Address: 11960 LIONESS WAY SUITE 140
    PARKER, CO
    ZIP 80134
  • Facility Phone: 303 643-0200
  • Facility Type: Other - OUTPATIENT MEDICAL IMAGIN
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES WENNOGLE
  • NPI Number: 1548806581
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2142044
LAB Type Other - OUTPATIENT MEDICAL IMAGIN
Facility Name SMI IMAGING, LLC DBA - SIMONMED IMAGING - PARKER
Street 11960 LIONESS WAY SUITE 140
City PARKER
State CO
ZIP 80134
Phone 303 643-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Other - OUTPATIENT MEDICAL IMAGIN
Lab Director DR. CHARLES WENNOGLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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