CLIA lab
CLIA 13D0922939: ST Luke's Clinic - Trinity Mountain
Mountain Home, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D0922939 belongs to ST Luke's Clinic - Trinity Mountain in Mountain Home, ID.
Certificate for Provider-Performed Microscopy Procedures, effective December 10, 2024, expires December 9, 2026.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 1996
- Facility type
- Physician office
- Ownership (control type)
- Government, other
- 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
- 13D0922939
- Lab name
- ST Luke's Clinic - Trinity Mountain
- Address
- 465 Mckenna Dr, Mountain Home, ID 83647
- Phone
- (208) 587-9703
- Fax
- (208) 587-1816
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 50
- Total
- 2,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mountain Home, ID
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- Doctors Clinic of Elmore CountyCertificate for Provider-Performed Microscopy Procedures, Physician office13D0938420
- Glenns Ferry Health Center IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D0646318
- Idaho Physical Medicine and Rehabilitation PACertificate of Waiver, Physician office13D2165110
- Kieffer Chiropractic ClinicCertificate of Waiver, Physician office13D0717775
- Mountain Home CbocCertificate of Accreditation, Community clinic13D2021272
- Mountain Pine DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office13D2155363
- ST Luke's Clinic Internal MedicineCertificate of Waiver, Community clinic13D2099371
- ST Luke's Elmore Long Term CareCertificate of Waiver, Skilled nursing or nursing facility13D2189985
- ST Luke's Elmore Medical CenterCertificate of Accreditation, Hospital13D0521347
Related
Questions
What is the CLIA number for ST Luke's Clinic - Trinity Mountain in Mountain Home?
13D0922939, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Luke's Clinic - Trinity Mountain hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D0922939 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.