29D2163730 CLIA NUMBER - SIMONMED IMAGING-CORONADO

Laboratory Demographics

  • CLIA Code: 29D2163730
  • Facility Name: SIMONMED IMAGING-CORONADO
  • Facility Address: 861 CORONADO CENTER DR STE 101
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: 702 260-2120
  • Facility Type: Other - OP MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: TRAVIS H. SNYDER
  • NPI Number: 1124664008
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 29D2163730
LAB Type Other - OP MEDICAL IMAGING
Facility Name SIMONMED IMAGING-CORONADO
Street 861 CORONADO CENTER DR STE 101
City HENDERSON
State NV
ZIP 89052
Phone 702 260-2120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Other - OP MEDICAL IMAGING
Lab Director TRAVIS H. SNYDER

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