10D2137050 CLIA NUMBER - SIMONMED IMAGING - LAKE MARY II

Laboratory Demographics

  • CLIA Code: 10D2137050
  • Facility Name: SIMONMED IMAGING - LAKE MARY II
  • Facility Address: 917 RINEHART ROAD
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 602 320-3344
  • Facility Type: Other - OUTPATIENT MED IMAG
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1073183042
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2137050
LAB Type Other - OUTPATIENT MED IMAG
Facility Name SIMONMED IMAGING - LAKE MARY II
Street 917 RINEHART ROAD
City LAKE MARY
State FL
ZIP 32746
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 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Other - OUTPATIENT MED IMAG
Lab Director VIJITHA K. REDDY

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