CLIA lab
CLIA 13D2204677: ST Luke's Family Medicine and Urology
Ketchum, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2204677 belongs to ST Luke's Family Medicine and Urology in Ketchum, 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, 2020
- 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
- 13D2204677
- Lab name
- ST Luke's Family Medicine and Urology
- Address
- 100 Hospital Dr Ste 109, Ketchum, ID 83340
- Phone
- (208) 727-8811
- Fax
- (208) 622-6921
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 100
- Total
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ketchum, ID
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- Idaho Skin CenterCertificate for Provider-Performed Microscopy Procedures, Physician office13D2212682
- Inner Health MDCertificate for Provider-Performed Microscopy Procedures, Physician office13D2110315
- Ketchum Family MedicineCertificate of Waiver, Other practitioner13D0960181
- Ketchum Fire DepartmentCertificate of Waiver, Ambulance13D2211244
- ST Luke's Clinic-ObstetricsCertificate for Provider-Performed Microscopy Procedures, Community clinic13D2256456
- ST Luke's Multispecialty Clinic-KetchumCertificate for Provider-Performed Microscopy Procedures, Community clinic13D2259169
- ST Luke's Wood River DermatologyCertificate of Compliance, Physician office13D0933599
- ST Luke's Wood River Medical CenterCertificate of Accreditation, Hospital13D0520773
Related
Questions
What is the CLIA number for ST Luke's Family Medicine and Urology in Ketchum?
13D2204677, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Luke's Family Medicine and Urology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2204677 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.