CLIA lab
CLIA 03D2154090: Smi Imaging, LLC DBA Simonmed Imaging - Flagstaff
Flagstaff, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2154090 belongs to Smi Imaging, LLC DBA Simonmed Imaging - Flagstaff in Flagstaff, AZ.
Certificate of Waiver, effective September 6, 2026, expires September 5, 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
- September 6, 2026
- Certificate expiration
- September 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2018
- 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
- 03D2154090
- Lab name
- Smi Imaging, LLC DBA Simonmed Imaging - Flagstaff
- Address
- 1000 N Humphreys St Suite 100, 101, 102, Flagstaff, AZ 86001
- Phone
- (602) 320-3344
- Fax
- (602) 441-0789
Annual test volume the lab reported
- Waived tests
- 500
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 Smi Imaging, LLC DBA Simonmed Imaging - Flagstaff in Flagstaff?
03D2154090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Smi Imaging, LLC DBA Simonmed Imaging - Flagstaff hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2154090 expire?
The CMS file lists September 5, 2028 as the certificate expiration date; the certificate took effect September 6, 2026.