10D2132322 CLIA NUMBER - SIMON MED IMAGING - CLERMONT

Laboratory Demographics

  • CLIA Code: 10D2132322
  • Facility Name: SIMON MED IMAGING - CLERMONT
  • Facility Address: 265 CITRUS TOWER BLVD STE 100
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 602 320-3344
  • Facility Type: Other - OUTPATIENT MEDICAL IMAGIN
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1528638509
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2132322
LAB Type Other - OUTPATIENT MEDICAL IMAGIN
Facility Name SIMON MED IMAGING - CLERMONT
Street 265 CITRUS TOWER BLVD STE 100
City CLERMONT
State FL
ZIP 34711
Phone 602 320-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Other - OUTPATIENT MEDICAL IMAGIN
Lab Director VIJITHA K. REDDY

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