CLIA lab
CLIA 03D1096284: Simonmed Imaging - 19th Ave
Phoenix, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1096284 belongs to Simonmed Imaging - 19th Ave in Phoenix, AZ.
Certificate of Waiver, effective March 2, 2025, expires March 1, 2027.
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
- March 2, 2025
- Certificate expiration
- March 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 2, 2009
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D1096284
- Lab name
- Simonmed Imaging - 19th Ave
- Address
- 6707 N 19th Ave, Ste 108, Phoenix, AZ 85015
- Phone
- (602) 688-6200
- Fax
- (602) 688-6201
Annual test volume the lab reported
- Waived tests
- 1,044
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Simonmed Imaging - 19th Ave in Phoenix?
03D1096284, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Simonmed Imaging - 19th Ave hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1096284 expire?
The CMS file lists March 1, 2027 as the certificate expiration date; the certificate took effect March 2, 2025.