10D2152694 CLIA NUMBER - SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LEESBURG

Laboratory Demographics

  • CLIA Code: 10D2152694
  • Facility Name: SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LEESBURG
  • Facility Address: 211 N 1ST STREET
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 435-0111
  • Facility Type: Other - MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: VIJITHA K. REDDY
  • NPI Number: 1265002240
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2152694
LAB Type Other - MEDICAL IMAGING
Facility Name SIMONMED IMAGING FLORIDA LLC DBA SIMONMED IMAGING - LEESBURG
Street 211 N 1ST STREET
City LEESBURG
State FL
ZIP 34748
Phone 352 435-0111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Other - MEDICAL IMAGING
Lab Director VIJITHA K. REDDY

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