CLIA lab

CLIA 13D2172039: ST Luke's Clinic Jerome Family Medicine

Jerome, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 13D2172039 belongs to ST Luke's Clinic Jerome Family Medicine in Jerome, ID.

Certificate for Provider-Performed Microscopy Procedures, effective September 13, 2025, expires September 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 13, 2025
Certificate expiration
September 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 13, 2019
Facility type
Community clinic
Ownership (control type)
Private
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
13D2172039
Lab name
ST Luke's Clinic Jerome Family Medicine
Address
132 5th Ave West, Jerome, ID 83338
Phone
(208) 814-9800
Fax
(208) 933-9651

Annual test volume the lab reported

Waived tests
1,200
Provider-performed microscopy tests
200
Total
1,400

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 ST Luke's Clinic Jerome Family Medicine in Jerome?

13D2172039, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Luke's Clinic Jerome Family Medicine hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 13D2172039 expire?

The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.

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