29D2121349 CLIA NUMBER - SIMONMED IMAGING-HENDERSON

Laboratory Demographics

  • CLIA Code: 29D2121349
  • Facility Name: SIMONMED IMAGING-HENDERSON
  • Facility Address: 6301 MOUNTAIN VISTA ST STE 103
    HENDERSON, NV
    ZIP 89014
  • Facility Phone: 702 433-7216
  • Facility Type: Other - OUTPATIENT MED IMAGING
  • Facility Type: Waiver
  • Lab Director: TRAVIS SNYDER
  • NPI Number: 1235775115
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 29D2121349
LAB Type Other - OUTPATIENT MED IMAGING
Facility Name SIMONMED IMAGING-HENDERSON
Street 6301 MOUNTAIN VISTA ST STE 103
City HENDERSON
State NV
ZIP 89014
Phone 702 433-7216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Other - OUTPATIENT MED IMAGING
Lab Director TRAVIS SNYDER

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