CLIA lab
CLIA 03D1098121: Simonmed Imaging - Prescott Valley
Prescott Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1098121 belongs to Simonmed Imaging - Prescott Valley in Prescott Valley, AZ.
Certificate of Waiver, effective April 13, 2025, expires April 12, 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
- April 13, 2025
- Certificate expiration
- April 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 13, 2009
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D1098121
- Lab name
- Simonmed Imaging - Prescott Valley
- Address
- 3033 N Windsong Drive Ste #102/103, Prescott Valley, AZ 86314
- Phone
- (928) 772-5250
- Fax
- (928) 775-5728
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Prescott Valley, AZ
- Advantage Primary HealthCertificate of Waiver, Other practitioner03D2337353
- Akdhc - Prescott ValleyCertificate for Provider-Performed Microscopy Procedures, Physician office03D2041747
- Angels Touch, Inc DBA Angels Care Home HealthCertificate of Waiver, Home health agency03D2260210
- Arizona CVS Stores, LLC DBA Cvs/PharmacyCertificate of Waiver, Pharmacy03D2259817
- Bradshaw Mountain Environmental, IncCertificate of Waiver, Independent03D2244020
- Cardiojost Inc, DBA Southwest CardiovascularCertificate of Waiver, Physician office03D2266066
- Central Arizona Fire and Medical AuthorityCertificate of Waiver, Other practitioner03D2200593
- Community Medical Services - Prescott ValleyCertificate of Waiver, Other03D2237642
- Cox Medical ClinicsCertificate of Waiver, Other practitioner03D2330995
- DH Yrmg Multi-SpecialtyCertificate of Waiver, Community clinic03D2300775
Related
Questions
What is the CLIA number for Simonmed Imaging - Prescott Valley in Prescott Valley?
03D1098121, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Simonmed Imaging - Prescott Valley hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1098121 expire?
The CMS file lists April 12, 2027 as the certificate expiration date; the certificate took effect April 13, 2025.