CLIA lab
CLIA 03D1077644: Smi Imaging LLC DBA Simonmed Imaging
Mesa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1077644 belongs to Smi Imaging LLC DBA Simonmed Imaging in Mesa, AZ.
Certificate of Waiver, effective April 18, 2026, expires April 17, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 18, 2026
- Certificate expiration
- April 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 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
- 03D1077644
- Lab name
- Smi Imaging LLC DBA Simonmed Imaging
- Address
- 1111 S Dobson Road Ste 101, Mesa, AZ 85202
- Phone
- (602) 320-3344
- Fax
- (602) 441-0789
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 Mesa, AZ
- 1st Care Medical ClinicCertificate of Waiver, Physician office03D1051751
- A New Leaf, IncCertificate of Waiver, Other03D2058313
- A To Z DermatologyCertificate of Registration, Physician office03D2160720
- Aap Dermatology & Cosmetic SurgeryCertificate of Compliance, Physician office03D0529436
- Active Recovery Care, PLLCCertificate of Waiver, Other practitioner03D2175338
- Adelante Healthcare MesaCertificate of Waiver, Federally qualified health center03D0663059
- Advance Home Health Care LLCCertificate of Waiver, Home health agency03D2097527
- Advanced Family Healthcare PLLCCertificate of Waiver, Physician office03D2083155
- Advanced Injury Solutions PLLCCertificate of Waiver, Ambulatory surgery center03D2342127
- Advanced Pain ManagementCertificate of Waiver, Physician office03D2053465
Related
Questions
What is the CLIA number for Smi Imaging LLC DBA Simonmed Imaging in Mesa?
03D1077644, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Smi Imaging LLC DBA Simonmed Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1077644 expire?
The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.