CLIA lab
CLIA 03D1074758: Smi Imaging LLC DBA Simonmed Imaging - Ahwatukee
Phoenix, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1074758 belongs to Smi Imaging LLC DBA Simonmed Imaging - Ahwatukee in Phoenix, AZ.
Certificate of Waiver, effective May 16, 2026, expires May 15, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 16, 2026
- Certificate expiration
- May 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2007
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D1074758
- Lab name
- Smi Imaging LLC DBA Simonmed Imaging - Ahwatukee
- Address
- 15810 S 45th St, Phoenix, AZ 85048
- Phone
- (480) 753-6161
- Fax
- (480) 753-6162
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Phoenix, AZ
- 19th Ave Pain Management DBA Sun Pain ManagementCertificate of Compliance, Physician office03D2246080
- 1st Care Medical ClinicCertificate of Waiver, Physician office03D2281248
- 21st Century Neurology, XenoscienceCertificate of Waiver, Physician office03D1011379
- 28th Street Medical Group LLCCertificate of Waiver, Physician office03D2055238
- 2nd Chance Treatment CenterCertificate of Waiver, Physician office03D2083937
- 2nd Chance Treatment Centers, LLCCertificate of Waiver, Physician office03D2196478
- 91st Avenue Operations, LLCCertificate of Accreditation, Skilled nursing or nursing facility03D2258029
- A Ray of Hope Ganesha Institute ofCertificate of Waiver, Physician office03D2310580
- A&w Legacy DBA Any Lab Test Metro PhoenixCertificate of Waiver, Independent03D2296924
- Abby's Research InstituteCertificate of Waiver, Physician office03D2278807
Related
Questions
What is the CLIA number for Smi Imaging LLC DBA Simonmed Imaging - Ahwatukee in Phoenix?
03D1074758, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Smi Imaging LLC DBA Simonmed Imaging - Ahwatukee hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1074758 expire?
The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.