CLIA lab
CLIA 14D2171204: Simonmed Imaging - Deer Park
Deer Park, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2171204 belongs to Simonmed Imaging - Deer Park in Deer Park, IL.
Certificate of Waiver, effective August 27, 2025, expires August 26, 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
- August 27, 2025
- Certificate expiration
- August 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2019
- 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
- 14D2171204
- Lab name
- Simonmed Imaging - Deer Park
- Additional name
- Howard Simon M D, P C
- Address
- 20530 N Rand Rd - Ste 350, Deer Park, IL 60010
- Phone
- (602) 688-6116
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.
Other labs in Deer Park, IL
- Allure Urogynecology PLLCCertificate of Waiver, Physician office14D2349343
- Citadel Health and Wellness Limited PCCertificate of Waiver, Other practitioner14D2343095
- H R S E - Dial V I I I - T R S L L CCertificate of Waiver, Assisted living facility14D2108926
- Midwest Center for Women's HealthcareCertificate for Provider-Performed Microscopy Procedures, Physician office14D2239912
- New Hope Ketamine ClinicCertificate of Waiver, Physician office14D2283351
Related
Questions
What is the CLIA number for Simonmed Imaging - Deer Park in Deer Park?
14D2171204, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Simonmed Imaging - Deer Park hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2171204 expire?
The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.